Active NPI
Terence Gerald Benson Jr., PHARMD
- Pharmacist
- Lackland Afb, TX
National Provider Identifier
1427041979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11935
- Practice address
- 2200 Bergquist Dr Ste 1
Lackland Afb, TX 78236-9908 - Phone
- (210) 292-4645
- NPI assigned
- Aug 30, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11935 | NE | Primary |
| Pharmacist | 183500000X | 48068 | TX |
Addresses
Primary practice location
2200 Bergquist Dr Ste 1
Lackland Afb, TX 78236-9908
Mailing address
2200 Bergquist Dr Ste 1
Lackland Afb, TX 78236-9908
Phone (210) 916-3608
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 |
|---|---|---|---|
| 11935 | NE | MD | Pharmacist |
| 48068 | TX | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388448000000",
"number": "1427041979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 BERGQUIST DR STE 1",
"city": "LACKLAND AFB",
"state": "TX",
"postal_code": "782369908",
"telephone_number": "210-916-3608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 BERGQUIST DR STE 1",
"city": "LACKLAND AFB",
"state": "TX",
"postal_code": "782369908",
"telephone_number": "210-292-4645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENSON",
"first_name": "TERENCE",
"middle_name": "GERALD",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-30",
"last_updated": "2013-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "11935",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "48068",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lackland Afb, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.