Benckall Group Incorporated

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

17517 Issued in TX

Legal business name

BENCKALL GROUP INCORPORATED

Doing business as

Total Pharmacy Center One

Practice address

4302 Center St
Houston, TX 77007-5616

Phone

(713) 864-0808

Fax

(713) 864-2153

NPI assigned

Sep 30, 2006

Last updated

Apr 5, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cyprian Ezeude, RPH

Title

President

Phone

(713) 864-0808

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• TOTAL PHARMACY CENTER ONE Doing business as

Tax ID family

Benckall Group Incorporated2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Benckall Group Incorporated

  dba Washington Ave Pharmacy Center

  • Community/Retail Pharmacy
  • Houston, TX
  • NPI 1962413450
  NPD tax ID

Locations

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1396838744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 CENTER ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770075616",
            "telephone_number": "713-864-0808",
            "fax_number": "713-864-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 CENTER ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770075616",
            "telephone_number": "713-864-0808",
            "fax_number": "713-864-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENCKALL GROUP INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A",
        "authorized_official_last_name": "EZEUDE",
        "authorized_official_first_name": "CYPRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-864-0808",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "17517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144615",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148820",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2105513",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TOTAL PHARMACY CENTER ONE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TOTAL PHARMACY CENTER ONE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Andrew Benavidez, LMFT 203349
• Francis Joshua Benavidez
• Vivianne Marie Benbrook, MD
• Benchmark Houston Inc. (Benchmark Home Health)
• Benchmark Services Unlimited LLC
• Benckall Group Incorporated (Washington Ave Pharmacy Center)
• Benco Healthcare Corporation
• Benco Healthcare Services Inc.
• Bendeloaks Healthcare Services Inc.
• Adam J Bender, PT, DPT

• Community/Retail Pharmacy in Houston, TX
• Providers in Houston, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.