Active NPI
Jay Harris Benjamin
- Pharmacist
- Philadelphia, PA
National Provider Identifier
1568449130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP045003L
- Practice address
- 243 W Chelten Ave
Philadelphia, PA 19144 - Phone
- (215) 844-4500
- Fax
- (215) 844-4080
- NPI assigned
- Dec 27, 2005
- Last updated
- Jan 16, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP045003L | PA | Primary |
Addresses
Primary practice location
243 W Chelten Ave
Philadelphia, PA 19144
Mailing address
410 Chariot CT
Chalfont, PA 18914
Phone (215) 343-3776
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP045003L | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358294400000",
"number": "1568449130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 CHARIOT CT",
"city": "CHALFONT",
"state": "PA",
"postal_code": "18914",
"telephone_number": "215-343-3776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "243 W CHELTEN AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19144",
"telephone_number": "215-844-4500",
"fax_number": "215-844-4080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENJAMIN",
"first_name": "JAY",
"middle_name": "HARRIS",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-27",
"last_updated": "2013-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP045003L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.