Active NPI
Benjamin McDaniel, PHARMD
- Pharmacist
- Pelham, AL
National Provider Identifier
1376184598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16464
- Practice address
- Wal Mart Pharmacy
2181 Pelham Pkwy
Pelham, AL 35124 - Phone
- (205) 987-0301
- NPI assigned
- Sep 30, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16464 | AL | Primary |
Addresses
Primary practice location
Wal Mart Pharmacy
2181 Pelham Pkwy
Pelham, AL 35124
Mailing address
3748 Dunbarton Dr
Mountain BRK, AL 35223-2706
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | unknown | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16464 | AL | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569801600000",
"number": "1376184598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3748 DUNBARTON DR",
"city": "MOUNTAIN BRK",
"state": "AL",
"postal_code": "352232706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WAL MART PHARMACY",
"address_2": "2181 PELHAM PKWY",
"city": "PELHAM",
"state": "AL",
"postal_code": "35124",
"telephone_number": "205-987-0301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDANIEL",
"first_name": "BENJAMIN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-30",
"last_updated": "2019-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "16464",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "unknown",
"affiliation": "N",
"endpointDescription": "unknown",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "unknown",
"address_1": "Wal Mart Pharmacy",
"address_2": "2181 Pelham Pkwy",
"city": "Pelham",
"state": "AL",
"country_code": "US",
"postal_code": "35124",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pelham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.