Ben-Dee Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE006480 Issued in GA

Legal business name

BEN-DEE CORP

Practice address

2151 Idlewood Rd
Tucker, GA 30084-4816

Phone

(770) 939-4333

Fax

(770) 491-3061

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Bradley Benton Piercy Jr., R.PH

Title

MGR

Phone

(770) 939-4333

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186012800000",
    "number": "1285787705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 IDLEWOOD RD",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844816",
            "telephone_number": "770-939-4333",
            "fax_number": "770-491-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 IDLEWOOD RD",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844816",
            "telephone_number": "770-939-4333",
            "fax_number": "770-491-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEN-DEE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-08-02",
        "status": "A",
        "authorized_official_last_name": "PIERCY",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "BENTON",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "770-939-4333",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH015404",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE006480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00389969A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Tucker, GA
• Providers in Tucker, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2007; 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.