Individual provider Active NPI

Benjamin Brown, PHARMD

  • Pharmacist
  • Jeffersonville, IN
National Provider Identifier
1306427273
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26028536A Issued in IN
Practice address
260 Logistics Ave Ste a
Jeffersonville, IN 47130-4672
Phone
(866) 443-0060
Fax
(800) 644-1180
NPI assigned
Apr 21, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 14563 KY
Pharmacist 183500000X 26028536A IN Primary

Addresses

Primary practice location

260 Logistics Ave Ste a
Jeffersonville, IN 47130-4672

Mailing address

3023 Grand Lakes Dr
Louisville, KY 40299-5537
Phone (502) 468-7289

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
26028536AINMDPharmacist
14563KYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Costco Wholesale Corporation CurrentSince Apr 25, 2021 Accepting new patients

Locations

260 Logistics Ave
Ste A
Jeffersonville, IN 47130
Phone (866) 443-0060

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1306427273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3023 GRAND LAKES DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402995537",
            "telephone_number": "502-468-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 LOGISTICS AVE STE A",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471304672",
            "telephone_number": "866-443-0060",
            "fax_number": "800-644-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "BENJAMIN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "14563",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26028536A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.