Ben Allen Sanders

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

RPH16348 Issued in GA

Practice address

Kroger Pharmacy 627
5550 Bethelview Road
Cumming, GA 30040

Phone

(678) 456-4054

Fax

(678) 456-4058

NPI assigned

Feb 13, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1497388904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 BETHELVIEW RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300406859",
            "telephone_number": "678-456-4054",
            "fax_number": "678-456-4058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KROGER PHARMACY 627",
            "address_2": "5550 BETHELVIEW ROAD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "30040",
            "telephone_number": "678-456-4054",
            "fax_number": "678-456-4058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "BEN",
        "middle_name": "ALLEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-13",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "GA",
            "license": "RPH16348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Azeezat Abisola Samuel, PMHNP
• Neena Samuel
• Marianne Sanchez, M.D.
• Sandra Dalton Sandel, LPC
• Jorri Sanders-Marchi, CCC-SLP
• Lisa Sanders, RPH
• Sandsrx Georgia, LLC
• Sandsrx Georgia, LLC
• Marianne Sandstrom
• Allison Brooke Santizo, NP-C

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Cumming, GA
• Providers in Cumming, GA by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.