Organization Active NPI

Benjamin Pharmacy Corp

  • Community/Retail Pharmacy
  • Elmhurst, NY
National Provider Identifier
1265474720
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BENJAMIN PHARMACY CORP
Doing business as
ELMHURST DRUGS
Practice address
84 04 Broadway
Elmhurst, NY 11373-5793
Phone
(718) 457-7884
Fax
(718) 457-2322
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Jorge Restnepo, RPH
Title
President
Phone
(718) 457-7884

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 019975 NY
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

84 04 Broadway
Elmhurst, NY 11373-5793

Mailing address

84 04 Broadway
Elmhurst, NY 11373-5793

Other identifiers 2

IdentifierTypeStateIssuer
3392925OtherOTHER ID NUMBER-COMMERCIAL NUMBER
01599715MedicaidNY

Other names 1

  • ELMHURST DRUGS Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1265474720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 04 BROADWAY",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 04 BROADWAY",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735793",
            "telephone_number": "718-457-7884",
            "fax_number": "718-457-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "RESTNEPO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-457-7884",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "019975",
            "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": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3392925",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01599715",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELMHURST DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.