John J. Benedetto, RPH
Individual provider Active NPI Pharmacist · Dover, DE
NPI 1619252459 · NPPES record last updated Oct 12, 2011
Key facts
- NPI
- 1619252459
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- A1-0002901 (DE)
- Practice address
- 5506 S Dupont Hwy
Dover, DE 19901-6410 - Phone
- (302) 698-6320
- NPI assigned
- Oct 12, 2011
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A1-0002901 | DE | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | A1-0002901 | DE | Yes |
Addresses
Primary practice location
5506 S Dupont Hwy
Dover, DE 19901-6410
Mailing address
5506 S Dupont Hwy
Dover, DE 19901-6410
Phone (302) 698-6320
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A1-0002901 | Other | DE | DELAWARE LICENSE NUMBER |
Other providers in Dover, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.