Active NPI
Benjamin Patrick Mudd, PHARM D, RPH
- Pharmacist
- Frankfort, KY
National Provider Identifier
1497010763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15950
- Practice address
- 96 C Michael Davenport Blvd
Frankfort, KY 40601-4333 - Phone
- (270) 699-6996
- NPI assigned
- Jul 11, 2012
- 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 | 15950 | KY | Primary |
Addresses
Primary practice location
96 C Michael Davenport Blvd
Frankfort, KY 40601-4333
Mailing address
96 C Michael Davenport Blvd
Frankfort, KY 40601-4333
Phone (270) 699-6996
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15950 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hometown Pharmacy of Springfield, PLLC | Current | Accepting new patients | |
| Hometown Pharmacy of Springfield, PLLC | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
100 W Depot St
Springfield, KY 40069
Phone (859) 217-5050
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.
-
- Long Term Care Pharmacy
- Springfield, KY
- NPI 1003771858
-
- Pharmacy
- Springfield, KY
- NPI 1043900160
-
- Pharmacy
- Lebanon, KY
- NPI 1043467350
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663200000000",
"number": "1497010763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "96 C MICHAEL DAVENPORT BLVD",
"city": "FRANKFORT",
"state": "KY",
"postal_code": "406014333",
"telephone_number": "270-699-6996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96 C MICHAEL DAVENPORT BLVD",
"city": "FRANKFORT",
"state": "KY",
"postal_code": "406014333",
"telephone_number": "270-699-6996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUDD",
"first_name": "BENJAMIN",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "PHARM D, RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-11",
"last_updated": "2022-09-15",
"certification_date": "2021-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "15950",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frankfort, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.