Active NPI
Benjamin Robert Dishman, BS PHARM, PHARM D.
- Psychiatric Pharmacist
- San Diego, CA
National Provider Identifier
1649227752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Pharmacist
- License
- 33393
- Practice address
- 3350 Lajolla Village Dr.
San Diego, CA 92161-0001 - Phone
- (585) 552-8585
- Fax
- (858) 552-4336
- NPI assigned
- May 27, 2006
- 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 |
|---|---|---|---|---|
| Psychiatric Pharmacist | 1835P1300X | 33393 | CA | Primary |
Addresses
Primary practice location
3350 Lajolla Village Dr.
San Diego, CA 92161-0001
Mailing address
3350 Lajolla Village Drive
San Diego, CA 92161-0001
Phone (858) 552-8585
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
- Credentials
- Bachelor of Science, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33393 | CA | MD | Psychiatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184544000000",
"number": "1649227752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3350 LAJOLLA VILLAGE DRIVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921610001",
"telephone_number": "858-552-8585",
"fax_number": "858-552-4336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3350 LAJOLLA VILLAGE DR.",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921610001",
"telephone_number": "585-552-8585",
"fax_number": "858-552-4336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DISHMAN",
"first_name": "BENJAMIN",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "BS PHARM, PHARM D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-27",
"last_updated": "2007-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "CA",
"license": "33393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.