Benzer FL 5 LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH29731 Issued in FL

Legal business name

BENZER FL 5 LLC

Practice address

500 W Granada Blvd Ste 4
Ormond Beach, FL 32174-2304

Phone

(386) 672-0600

Fax

(386) 672-0700

NPI assigned

Dec 8, 2010

Organization subpart

No

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

Authorized official

Name

Sandra Johnston

Title

President, Ao

Phone

(386) 672-0600

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Benzer Pharmacy 144 Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jodie Bevel, RPH

  • Pharmacist
  • Ormond Beach, FL
  • NPI 1205393485
  NPD (past)

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550620800000",
    "number": "1265735518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W GRANADA BLVD STE 4",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321742304",
            "telephone_number": "386-672-0600",
            "fax_number": "888-239-8423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W GRANADA BLVD STE 4",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321742304",
            "telephone_number": "386-672-0600",
            "fax_number": "386-672-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENZER FL 5 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-08",
        "last_updated": "2019-02-20",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PRESIDENT, AO",
        "authorized_official_telephone_number": "386-672-0600"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH29731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016511500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2156207",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benzer Pharmacy 144",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Benzer Pharmacy 144",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard P. Bell, M.D.
• Celeste C Belyea, RN, RRT, CPFT, AE-C
• Donald Benett, D.O.
• Alyn L Benezette, D.O.
• Shaina Brittney Benjamin, RBT
• Andrew Scott Bernett
• Courtney Nicole Bernett, DO
• Joanally T. Berns
• Allyson Best, M.D.
• Timothy Best

• Community/Retail Pharmacy in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.