Active NPI
Maria Thomas Benjamin
- Pharmacist
- Chesterfield, MI
National Provider Identifier
1710517024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302045425
- Practice address
- 51400 Gratiot Ave
Chesterfield, MI 48051-2007 - Phone
- (586) 598-4770
- NPI assigned
- Jan 26, 2020
- Sex
- Female
- 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 | 5302045425 | MI | Primary |
Addresses
Primary practice location
51400 Gratiot Ave
Chesterfield, MI 48051-2007
Mailing address
51400 Gratiot Ave
Chesterfield, MI 48051-2007
Phone (586) 598-4770
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 |
|---|---|---|---|
| 5302045425 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579996800000",
"number": "1710517024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51400 GRATIOT AVE",
"city": "CHESTERFIELD",
"state": "MI",
"postal_code": "480512007",
"telephone_number": "586-598-4770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51400 GRATIOT AVE",
"city": "CHESTERFIELD",
"state": "MI",
"postal_code": "480512007",
"telephone_number": "586-598-4770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENJAMIN",
"first_name": "MARIA",
"middle_name": "THOMAS",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-26",
"last_updated": "2020-01-26",
"certification_date": "2020-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302045425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesterfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.