Active NPI
Benneth Chukwudi Ejesi, RPH
- Pharmacist
- Springfield, MA
National Provider Identifier
1295018141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH21369
- Practice address
- 501 Sumner Ave
Springfield, MA 01108-2306 - Phone
- (413) 746-1563
- Fax
- (413) 747-9833
- NPI assigned
- Sep 27, 2011
- Last updated
- Sep 27, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH21369 | MA | Primary |
| Pharmacist | 183500000X | PCT.0008913 | CT |
Addresses
Primary practice location
501 Sumner Ave
Springfield, MA 01108-2306
Mailing address
50 Day St
Feeding Hills, MA 01030-2304
Phone (413) 746-1563
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCT.0008913 | CT | MD | Pharmacist |
| PH21369 | MA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317081600000",
"number": "1295018141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 DAY ST",
"city": "FEEDING HILLS",
"state": "MA",
"postal_code": "010302304",
"telephone_number": "413-746-1563",
"fax_number": "413-747-9833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 SUMNER AVE",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011082306",
"telephone_number": "413-746-1563",
"fax_number": "413-747-9833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EJESI",
"first_name": "BENNETH",
"middle_name": "CHUKWUDI",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-27",
"last_updated": "2011-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH21369",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PCT.0008913",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.