Individual provider Active NPI

Benjamin Patrick Mudd, PHARM D, RPH

  • Pharmacist
  • Frankfort, KY
National Provider Identifier
1497010763
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
15950 Issued in KY
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

Updated by the provider on Sep 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
15950KYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Pharmacy of Springfield, PLLC Current Accepting new patients
Hometown Pharmacy of Springfield, PLLC Current Accepting new patients
Walgreen Co PastSince Apr 3, 2022 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.

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.

Verify at the official NPI Registry.