Benjamin Koenig, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

22497 Issued in AL

Practice address

3020 Clairmont Ave S
Birmingham, AL 35205-1113

Phone

(205) 323-6823

NPI assigned

Oct 19, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 2

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

Locations

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.

• Walgreen Co

  • Pharmacy
  • Birmingham, AL
  • NPI 1750639696
  NPD
• Walgreen Co

  • Pharmacy
  • Roanoke, VA
  • NPI 1194730143
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1558024364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4841 WILLIAMSON RD NW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240122331",
            "telephone_number": "540-265-8922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 CLAIRMONT AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051113",
            "telephone_number": "205-323-6823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4841 Williamson Rd NW",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240122331",
            "country_code": "US",
            "telephone_number": "540-265-8922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOENIG",
        "first_name": "BENJAMIN",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-19",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202215770",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "22497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "0202215770",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rxm.5216@walgreens.com",
            "affiliation": "N",
            "address_1": "4841 Williamson Rd NW",
            "city": "Roanoke",
            "state": "VA",
            "country_code": "US",
            "postal_code": "240122331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rxm.15144@store.walgreens.com",
            "affiliation": "N",
            "address_1": "3020 Clairmont Ave S",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352051113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicole Katlyn Kocher, RN
• Miranda Kock
• Vijay Sagar Kodali, MD
• Robert E Koehler, MD
• Thomas Alexander Koen, APRN,AGNP-C
• Elizabeth Koepsel
• Alexander Michael Kofskey, MD
• Laura Kathryn Kofskey, PA
• Heidi Kohake, PT, NCS, ATP
• Isabella Louise Fernandez Kohlhepp, DO

• Pharmacist in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Pharmacist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.