Active NPI
Benson Toy, PHARM.D.
- Nutrition Support Pharmacist
- San Rafael, CA
National Provider Identifier
1245387562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Support Pharmacist
- License
- 29320
- Practice address
- 750 Las Gallinas Ave Ste 104
San Rafael, CA 94903-3431 - Phone
- (415) 479-1993
- Fax
- (415) 479-0128
- NPI assigned
- Jan 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Support Pharmacist | 1835N1003X | 29320 | CA | Primary |
Addresses
Primary practice location
750 Las Gallinas Ave Ste 104
San Rafael, CA 94903-3431
Mailing address
750 Las Gallinas Ave Ste 104
San Rafael, CA 94903-3431
Phone (415) 479-1993
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA371190 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29320 | CA | MD | Nutrition Support Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benson Toy | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- San Rafael, CA
- NPI 1063575694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245387562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 LAS GALLINAS AVE STE 104",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949033431",
"telephone_number": "415-479-1993",
"fax_number": "415-479-0128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 LAS GALLINAS AVE STE 104",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949033431",
"telephone_number": "415-479-1993",
"fax_number": "415-479-0128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOY",
"first_name": "BENSON",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835N1003X",
"taxonomy_group": "",
"desc": "Pharmacist, Nutrition Support",
"state": "CA",
"license": "29320",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA371190",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Rafael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.