Active NPI
Benjamin Lochala, PHARMD, RPH
- Pharmacist
- Bonney Lake, WA
National Provider Identifier
1346673969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 60643249
- Practice address
- 19102 Sr 410 E Ste B
Bonney Lake, WA 98391-8449 - Phone
- (207) 491-8894
- NPI assigned
- Aug 19, 2013
- 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 | 27960 | ME | |
| Pharmacist | 183500000X | 62553 | TX | |
| Pharmacist | 183500000X | 23730 | NC | |
| Pharmacist | 183500000X | 60643249 | WA | Primary |
Addresses
Primary practice location
19102 Sr 410 E Ste B
Bonney Lake, WA 98391-8449
Mailing address
15817 198TH Ave E
Bonney Lake, WA 98391-7450
Phone (207) 491-8894
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62553 | TX | MD | Social Worker |
| 27960 | ME | MD | Pharmacist |
| 23730 | NC | MD | Pharmacist |
| 60643249 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bonney Lake Pharmacy, LLC | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
19102 Sr 410 E
Ste B
Bonney Lake, WA 98391
Phone (207) 491-8894
Organizations & group practices 3
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.
-
dba Bonney Lake Pharmacy
- Community/Retail Pharmacy
- Bonney Lake, WA
- NPI 1447917851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637280000000",
"number": "1346673969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15817 198TH AVE E",
"city": "BONNEY LAKE",
"state": "WA",
"postal_code": "983917450",
"telephone_number": "207-491-8894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19102 SR 410 E STE B",
"city": "BONNEY LAKE",
"state": "WA",
"postal_code": "983918449",
"telephone_number": "207-491-8894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCHALA",
"first_name": "BENJAMIN",
"credential": "PHARMD, RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-19",
"last_updated": "2021-11-19",
"certification_date": "2021-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ME",
"license": "27960",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "62553",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "23730",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "60643249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bonney Lake, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.