Individual provider Active NPI

Linda Karen Bennion-Smith

  • Pharmacist
  • Rochester, MN
National Provider Identifier
1487100640
Registry record updated Aug 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
122100 Issued in MN
Practice address
3400 55TH St NW
Rochester, MN 55901-0123
Phone
(507) 280-7665
Fax
(507) 280-7725
NPI assigned
Aug 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 122100 MN Primary

Addresses

Primary practice location

3400 55TH St NW
Rochester, MN 55901-0123

Mailing address

3400 55TH St NW
Rochester, MN 55901-0123
Phone (507) 280-7665

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

LicenseStateTypeSpecialty
122100MNMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472342400000",
    "number": "1487100640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 55TH ST NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559010123",
            "telephone_number": "507-280-7665",
            "fax_number": "507-280-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 55TH ST NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559010123",
            "telephone_number": "507-280-7665",
            "fax_number": "507-280-7725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNION-SMITH",
        "first_name": "LINDA",
        "middle_name": "KAREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "122100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2016; 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.