Individual provider Active NPI

Benjamin Michael Lopez, PHARM.D.

  • Pharmacist
  • Gainesville, FL
National Provider Identifier
1730581471
Registry record updated Sep 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS50621 Issued in FL
Practice address
2046 NE Waldo Rd
Suite 3100
Gainesville, FL 32609-8975
Phone
(352) 273-9045
Fax
(352) 273-9658
NPI assigned
Sep 25, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS50621 FL Primary

Addresses

Primary practice location

2046 NE Waldo Rd
Suite 3100
Gainesville, FL 32609-8975

Mailing address

2046 NE Waldo Rd
Suite 3100
Gainesville, FL 32609-8975
Phone (352) 273-9045

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
PS50621FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida College of Pharmacy Medication Management Pharmacist Past Accepting new patients
University of Florida College of Pharmacy Pharmacist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411603200000",
    "number": "1730581471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2046 NE WALDO RD",
            "address_2": "SUITE 3100",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326098975",
            "telephone_number": "352-273-9045",
            "fax_number": "352-273-9658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2046 NE WALDO RD",
            "address_2": "SUITE 3100",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326098975",
            "telephone_number": "352-273-9045",
            "fax_number": "352-273-9658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "BENJAMIN",
        "middle_name": "MICHAEL",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-25",
        "last_updated": "2014-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS50621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; 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.