Michael A Benjamin, REG. PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH26635 Issued in MA

Practice address

11 Jungle Rd
Leominster, MA 01453-5207

Phone

(978) 466-1221

Fax

(978) 466-8027

NPI assigned

Sep 13, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Walgreen Co

  • Pharmacy
  • Worcester, MA
  • NPI 1063609972
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604188800000",
    "number": "1366724627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 POWDER HILL RD",
            "city": "BOLTON",
            "state": "MA",
            "postal_code": "017401083",
            "telephone_number": "978-466-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 JUNGLE RD",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014535207",
            "telephone_number": "978-466-1221",
            "fax_number": "978-466-8027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "99 Stafford St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016031456",
            "country_code": "US",
            "telephone_number": "508-797-6401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "REG. PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-13",
        "last_updated": "2020-11-01",
        "certification_date": "2020-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "10193",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH26635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cotey Belliveau
• Samantha Joan Bellizzi, LCSW
• Carmen Belvillee, RN, CHPPN
• Christopher Benevides, PHARMD
• Benjamin Grajales MDPC
• Evelyn Kay Bennett, LICSW
• Martin Benowitz, EDD
• Patricia Benowitz, LICSW
• Brielle Bento
• Michael Jonathan Berger, MD

• Pharmacist in Leominster, MA
• Providers in Leominster, MA by specialty
• Pharmacist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2020; 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.