Active NPI
Ben Ku
- Pharmacist
- Ukiah, CA
National Provider Identifier
1447723036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH80073
- Practice address
- 653 S State St
Ukiah, CA 95482 - Phone
- (707) 467-2712
- NPI assigned
- Jan 7, 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 | RPH80073 | CA | Primary |
Addresses
Primary practice location
653 S State St
Ukiah, CA 95482
Mailing address
653 S State St
Ukiah, CA 95482-4912
Phone (707) 467-2712
Other practice location 1
490 S Main St
Fort Bragg, CA 95437-4806
Phone (707) 964-1848
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 |
|---|---|---|---|
| RPH80073 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | Past | Accepting new patients | |
| Safeway Inc | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Rite Aid Pharmacy 06833
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
-
dba Rite Aid Pharmacy 06028
- Community/Retail Pharmacy
- Fort Bragg, CA
- NPI 1679682009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569974400000",
"number": "1447723036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "653 S STATE ST",
"city": "UKIAH",
"state": "CA",
"postal_code": "954824912",
"telephone_number": "707-467-2712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "653 S STATE ST",
"city": "UKIAH",
"state": "CA",
"postal_code": "95482",
"telephone_number": "707-467-2712"
}
],
"practiceLocations": [
{
"address_1": "490 S Main St",
"address_purpose": "LOCATION",
"city": "Fort Bragg",
"state": "CA",
"postal_code": "954374806",
"country_code": "US",
"telephone_number": "707-964-1848",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KU",
"first_name": "BEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-07",
"last_updated": "2019-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH80073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ukiah, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.