Brian Benson, PHARMD
Individual provider Active NPI Pharmacist · Lemoore, CA
NPI 1437574845 · NPPES record last updated Feb 21, 2014
Key facts
- NPI
- 1437574845
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH36420 (CA)
- Practice address
- 9795 23 1/2 Ave
Lemoore, CA 93245-9670 - Phone
- (559) 707-1191
- NPI assigned
- Feb 21, 2014
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH36420 | CA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH36420 | CA | Yes |
Addresses
Primary practice location
9795 23 1/2 Ave
Lemoore, CA 93245-9670
Mailing address
9795 23 1/2 Ave
Lemoore, CA 93245-9670
Phone (559) 707-1191
Other providers in Lemoore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.