Active NPI
Linda Lee Bencic
- Pharmacist
- Mentor, OH
National Provider Identifier
1245819804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03313418
- Practice address
- 9303 Mentor Ave
Mentor, OH 44060-6413 - Phone
- (440) 974-3301
- NPI assigned
- Apr 2, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03313418 | OH | Primary |
Addresses
Primary practice location
9303 Mentor Ave
Mentor, OH 44060-6413
Mailing address
5213 Strawberry LN
Willoughby, OH 44094-4331
Phone (440) 667-3166
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03313418 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617321600000",
"number": "1245819804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5213 STRAWBERRY LN",
"city": "WILLOUGHBY",
"state": "OH",
"postal_code": "440944331",
"telephone_number": "440-667-3166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9303 MENTOR AVE",
"city": "MENTOR",
"state": "OH",
"postal_code": "440606413",
"telephone_number": "440-974-3301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENCIC",
"first_name": "LINDA",
"middle_name": "LEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-02",
"last_updated": "2021-04-02",
"certification_date": "2021-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03313418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mentor, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.