NPIMap

Organization Active NPI

Ben-Ray Inc.

Doing business as Evans Pharmacy

  • Pharmacy
  • Odessa, TX
National Provider Identifier
1255324836
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
01918 Issued in TX
Legal business name
BEN-RAY INC.
Doing business as
Evans Pharmacy
Practice address
310 Dotsy Ave
Odessa, TX 79763-4342
Phone
(432) 337-2361
Fax
(432) 337-0310
NPI assigned
Aug 29, 2005
Last updated
Aug 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Authorized official

Name
Mr. Bentley Fred Hawley
Title
President
Phone
(432) 337-2361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 01918 TX Primary

Addresses

Primary practice location

310 Dotsy Ave
Odessa, TX 79763-4342

Mailing address

PO Box 4474
310 N. Dotsy Ave
Odessa, TX 79760-4474
Phone (432) 337-2361

Other identifiers 1

IdentifierTypeStateIssuer
140119MedicaidTX

Other names 1

  • Evans Pharmacy Doing business as

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1255324836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4474",
            "address_2": "310 N. DOTSY AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797604474",
            "telephone_number": "432-337-2361",
            "fax_number": "432-337-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 DOTSY AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797634342",
            "telephone_number": "432-337-2361",
            "fax_number": "432-337-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEN-RAY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-29",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "HAWLEY",
        "authorized_official_first_name": "BENTLEY",
        "authorized_official_middle_name": "FRED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "432-337-2361",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "01918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140119",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evans Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Odessa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; 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.