Active NPI
Benji Newman, R.PH.
- Pharmacist
- Chicago, IL
National Provider Identifier
1346665106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.296480
- Practice address
- 316 W Cermak Rd
Chicago, IL 60616-1916 - Phone
- (312) 791-0461
- NPI assigned
- Mar 3, 2014
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051.296480 | IL | Primary |
| Pharmacist | 183500000X | PST.020426 | LA | |
| Pharmacist | 183500000X | RPH020101 | GA | |
| Pharmacist | 183500000X | 13591 | AL |
Addresses
Primary practice location
316 W Cermak Rd
Chicago, IL 60616-1916
Mailing address
316 W Cermak Rd
Chicago, IL 60616-1916
Phone (312) 791-0461
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051.296480 | Other | IL | STATE LICENSE NUMBER |
| RPH020101 | Other | GA | STATE LICENSE NUMBER |
| 13591 | Other | AL | STATE LICENSE NUMBER |
| PST.020426 | Other | LA | STATE LICENSE NUMBER |
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 |
|---|---|---|---|
| 13591 | AL | MD | Pharmacist |
| RPH020101 | GA | MD | Pharmacist |
| 051.296480 | IL | MD | Pharmacist |
| PST.020426 | LA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393804800000",
"number": "1346665106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 W CERMAK RD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606161916",
"telephone_number": "312-791-0461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 W CERMAK RD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606161916",
"telephone_number": "312-791-0461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWMAN",
"first_name": "BENJI",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-03",
"last_updated": "2014-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.296480",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "PST.020426",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH020101",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "13591",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "051.296480",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "RPH020101",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "13591",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "PST.020426",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.