Benzer Ms 1 LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

BENZER MS 1 LLC

Practice address

1720A Medical Park Dr Ste 160
Biloxi, MS 39532-2135

Phone

(228) 207-7716

Fax

(228) 207-9598

NPI assigned

Mar 9, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alpesh Patel

Title

Owner

Phone

(813) 304-2221

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Benzer Pharmacy Doing business as

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert K Ozon, MD

  • Neurology Physician
  • Gulfport, MS
  • NPI 1861483075
  NPD (past)
• Marisa D Stringer, NP-C

  • Dermatology Physician
  • Biloxi, MS
  • NPI 1043327034
  NPD (past)
• Gai Truong, PHARM.D.

  • Pharmacist
  • Biloxi, MS
  • NPI 1942691415
  NPD (past)
• Jason Michael Bouvier, CPHT

  • Pharmacy Technician
  • Martinez, GA
  • NPI 1104391085

  Community/Retail Pharmacy

  NPD (past)
• Katherine Zibilich Holcomb, M.D.

  • Dermatology Physician
  • Metairie, LA
  • NPI 1861668808
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532563200000",
    "number": "1235522756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5908 BRECKENRIDGE PARKWAY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33610",
            "telephone_number": "813-304-2221",
            "fax_number": "888-239-8423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720A MEDICAL PARK DR STE 160",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322135",
            "telephone_number": "228-207-7716",
            "fax_number": "228-207-9598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENZER MS 1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-09",
        "last_updated": "2018-07-26",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ALPESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-304-2221"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "142461/1.1",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "404473",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2150623",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06972060",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benzer Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly R Benigno, O.D.
• Jakob R Benne, PA-C
• Ginger Bennett, MT-BC, NMT
• Thomas Bennington II
• Leonard Leon Bentz, LCSW
• Danielle Kusserow Bersabe, M.D.
• Anthony P Bertasi III, D.O.
• Gregory Emile Bertucci, MD
• Best Anesthesia, PLLC
• Yashashree L Bethala, MD

• Community/Retail Pharmacy in Biloxi, MS
• Providers in Biloxi, MS by specialty
• Community/Retail Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.