Benjamin Clayton Sandecki, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

19130 Issued in OK

Practice address

328 N 6TH St
Perry, OK 73077-6607

Phone

(580) 336-2136

NPI assigned

Feb 12, 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1613088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1518550375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3116 NW 65TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731163510",
            "telephone_number": "918-704-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 N 6TH ST",
            "city": "PERRY",
            "state": "OK",
            "postal_code": "730776607",
            "telephone_number": "580-336-2136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDECKI",
        "first_name": "BENJAMIN",
        "middle_name": "CLAYTON",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-12",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "19130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "fcdrug.com",
            "affiliation": "N",
            "endpointDescription": "Foster Corner Drug",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "328 N 6th St",
            "city": "Perry",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730776607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Chelsea Redman
• Heath Rice
• Amy Beth Roberts, PT
• Lonnie Douglas Rutherford, LADC
• Diana Samarripa
• Kellie Denise Saunders
• Latosha Marie Seagroves
• Seeking Solutions, LLC
• Mycale Lloyd Shannon, DR.OF PHARMACY
• Amanda Silver, RN

• Pharmacist in Perry, OK
• Providers in Perry, OK by specialty
• Pharmacist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.