Benjamin Field, DPH
Individual provider Active NPI Pharmacist · Berlin, WI
NPI 1497071807 · NPPES record last updated Apr 9, 2010
Key facts
- NPI
- 1497071807
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 14226-040 (WI)
- Practice address
- 135 W Huron St
Berlin, WI 54923-1545 - Phone
- (920) 361-1565
- NPI assigned
- Apr 9, 2010
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14226-040 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Field Pharmacy LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14226-040 | WI | Yes |
Addresses
Primary practice location
135 W Huron St
Berlin, WI 54923-1545
Mailing address
120 Spaulding Ave
Ripon, WI 54971-1360
Phone (920) 748-9867
Other providers in Berlin, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.