Active NPI
Benjamin S Davis, PHARM.D.
- Pharmacist
- New Haven, CT
National Provider Identifier
1679856405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8964
- Practice address
- 55 Park St Ste 1a
New Haven, CT 06511-5474 - Phone
- (203) 777-7809
- Fax
- (203) 777-7829
- NPI assigned
- Sep 28, 2011
- Last updated
- Dec 17, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 | 8964 | CT | Primary |
Addresses
Primary practice location
55 Park St Ste 1a
New Haven, CT 06511-5474
Mailing address
55 Park St Ste 1a
New Haven, CT 06511-5474
Phone (203) 777-7809
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
- Doctor of Pharmacy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
55 Park St
#1A
New Haven, CT 06511
Phone (203) 777-7809
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671235200000",
"number": "1679856405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 PARK ST STE 1A",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065115474",
"telephone_number": "203-777-7809",
"fax_number": "203-777-7829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 PARK ST STE 1A",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065115474",
"telephone_number": "203-777-7809",
"fax_number": "203-777-7829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "BENJAMIN",
"middle_name": "S",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-28",
"last_updated": "2022-12-17",
"certification_date": "2022-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "8964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.