Organization Active NPI

Benzer Pharmacy

  • Community/Retail Pharmacy
  • Warner Robins, GA
National Provider Identifier
1730692377
Registry record updated Aug 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE01041 Issued in GA
Legal business name
BENZER PHARMACY
Practice address
150 S Houston Lake Rd Ste 300
Warner Robins, GA 31088
Phone
(478) 335-0756
NPI assigned
Nov 6, 2017
Last updated
Aug 24, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2018

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

Authorized official

Name
Ankit PatelNPI 1497305007
Title
Owner
Phone
(478) 333-6767

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHRE01041 GA Primary

Addresses

Primary practice location

150 S Houston Lake Rd Ste 300
Warner Robins, GA 31088

Mailing address

150 S Houston Lake Rd Ste 300
Warner Robins, GA 31088-9056
Phone (478) 335-0756

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180913001173 GA Part B Supplier - Mass Immunization (Roster Biller Only) 9234489147 Practice locations: Warner Robins, GA

National Provider Directory

National Provider Directory
Tax ID family
Robins Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535068800000",
    "number": "1730692377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S HOUSTON LAKE RD STE 300",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310889056",
            "telephone_number": "478-335-0756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S HOUSTON LAKE RD STE 300",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "31088",
            "telephone_number": "478-335-0756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENZER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-06",
        "last_updated": "2018-08-24",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ANKIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-333-6767"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE01041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.