Anthony Ray Benton Jr., PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH030142 Issued in GA

Practice address

816 Gordon Ave
Thomasville, GA 31792-6611

Phone

(229) 226-4201

Fax

(229) 226-4206

NPI assigned

Jan 20, 2021

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

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• TDS Georgia, LLC

  • Community/Retail Pharmacy
  • Thomasville, GA
  • NPI 1417980426
  NPD (past) Authorized official

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1508456971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 350",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317990350",
            "telephone_number": "229-226-4201",
            "fax_number": "229-226-4206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 GORDON AVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317926611",
            "telephone_number": "229-226-4201",
            "fax_number": "229-226-4206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 South Broad Street",
            "address_purpose": "LOCATION",
            "city": "Thomasville",
            "state": "GA",
            "postal_code": "317923179",
            "country_code": "US",
            "telephone_number": "229-226-2535",
            "fax_number": "229-226-2537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENTON",
        "first_name": "ANTHONY",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH030142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Dawn Beckham, SLP
• James Daniel Beeson, MD
• Johnny M Belenchia, MD
• Michael Bennefield, NP-C
• Tyra Lashay Bennett, NP
• William A Benz, PA
• Eugene Francis Berbenick, D.C.
• Brandon Richard Bergan, M.D.
• Joseph H Berger, M.D.
• Maurice R Bernaiche, D.O.

• All providers in Thomasville, GA
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.