Benzer FL 10 LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH29344 Issued in FL

Legal business name

BENZER FL 10 LLC

Doing business as

Benzer Pharmacy

Practice address

11048 Baymeadows Road
Suite 5
Jacksonville, FL 32256

Phone

(813) 968-9100

Fax

(813) 968-9200

NPI assigned

Sep 9, 2015

Organization subpart

No

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

Authorized official

Name

Alpesh Patel

Title

Owner

Phone

(813) 304-2221

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Benzer Pharmacy Doing business as

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542585600000",
    "number": "1316315393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5908 BRECKENRIDGE PARKWAY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33610",
            "telephone_number": "813-304-2221",
            "fax_number": "888-239-8423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11048 BAYMEADOWS ROAD",
            "address_2": "SUITE 5",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32256",
            "telephone_number": "813-968-9100",
            "fax_number": "813-968-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENZER FL 10 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-09",
        "last_updated": "2018-11-19",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ALPESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-304-2221"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH29344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015867500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2153868",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benzer Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jasmine Bentley, PTA
• Sherita Ladwan Bentley, APRN
• Brittany Benton
• Erica S Benton
• Jessica Benton
• Benzer FL 6 LLC
• Pia Benzer, APRN
• Fatjona Berati
• Berdy Dental Group
• Cary Stephen Berdy, D.D.S.

• Community/Retail Pharmacy in Jacksonville, FL
• Providers in Jacksonville, 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 Nov 19, 2018; 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.