Active NPI
Mechele L Benton
- Pharmacist
- Bath, NY
National Provider Identifier
1447436142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0351521
- Practice address
- 338 W Washington St
Bath, NY 14810-1024 - Phone
- (607) 776-4747
- NPI assigned
- Jan 14, 2008
- Sex
- Female
- 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 | 0351521 | NY | Primary |
Addresses
Primary practice location
338 W Washington St
Bath, NY 14810-1024
Mailing address
PO Box 71
Avoca, NY 14809-0071
Phone (607) 566-2231
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0351521 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200268800000",
"number": "1447436142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 71",
"city": "AVOCA",
"state": "NY",
"postal_code": "148090071",
"telephone_number": "607-566-2231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "338 W WASHINGTON ST",
"city": "BATH",
"state": "NY",
"postal_code": "148101024",
"telephone_number": "607-776-4747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENTON",
"first_name": "MECHELE",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-14",
"last_updated": "2008-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "0351521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bath, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.