Individual provider Active NPI

Mary Benson Todd, PHARM.D.

  • Pharmacist
  • Tampa, FL
National Provider Identifier
1730298894
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS 34237 Issued in FL
Practice address
175 Kelsey LN
Professional Services Department
Tampa, FL 33619-4336
Phone
(813) 318-6776
Fax
(813) 627-2403
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS 34237 FL Primary
Pharmacist 183500000X 15725 MD

Addresses

Primary practice location

175 Kelsey LN
Professional Services Department
Tampa, FL 33619-4336

Mailing address

175 Kelsey LN
Professional Services Department
Tampa, FL 33619-4336
Phone (813) 318-6776

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

State licenses

LicenseStateTypeSpecialty
PS 34237FLMDPharmacist
15725MDMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730298894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 KELSEY LN",
            "address_2": "PROFESSIONAL SERVICES DEPARTMENT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336194336",
            "telephone_number": "813-318-6776",
            "fax_number": "813-627-2403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 KELSEY LN",
            "address_2": "PROFESSIONAL SERVICES DEPARTMENT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336194336",
            "telephone_number": "813-318-6776",
            "fax_number": "813-627-2403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODD",
        "first_name": "MARY",
        "middle_name": "BENSON",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS 34237",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "15725",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.