Individual provider Active NPI

Benjamin Hansen, PHARMD

  • Pharmacist
  • Winston Salem, NC
National Provider Identifier
1255867289
Registry record updated Sep 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
25983 Issued in NC
Practice address
2150 Country Club Rd Ste 300
Winston Salem, NC 27104
Phone
(336) 718-0050
NPI assigned
May 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 25983 NC Primary

Addresses

Primary practice location

2150 Country Club Rd Ste 300
Winston Salem, NC 27104

Mailing address

150 Peters Creek Pkwy Apt 209
Winston Salem, NC 27101-3684
Phone (828) 234-3420

Other practice location 1

485 Valley Rd
Mocksville, NC 27028-2074
Phone (336) 751-8000

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

LicenseStateTypeSpecialty
25983NCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535932800000",
    "number": "1255867289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 PETERS CREEK PKWY APT 209",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271013684",
            "telephone_number": "828-234-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 COUNTRY CLUB RD STE 300",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "27104",
            "telephone_number": "336-718-0050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "485 Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Mocksville",
            "state": "NC",
            "postal_code": "270282074",
            "country_code": "US",
            "telephone_number": "336-751-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "BENJAMIN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2018-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "25983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.