Spencer Udell Bennion

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS61224 Issued in FL

Practice address

270 Heald Way
The Villages, FL 32163-6072

Phone

(352) 461-5018

NPI assigned

Aug 25, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Wal-Mart Stores East, LP

  • Pharmacy
  • Apollo Beach, FL
  • NPI 1437027208
  NPD (past)

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1750994232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 SPARROW BRANCH CIR",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "322594543",
            "telephone_number": "904-945-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 HEALD WAY",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321636072",
            "telephone_number": "352-461-5018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNION",
        "first_name": "SPENCER",
        "middle_name": "UDELL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS61224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josh Bell
• Melanie Belle-Wells, APRN
• John H Bellew, D.O.
• Rafik Ben Abda, D.O
• Ariel Bender, PA-C
• Laura L Benoit, PTA
• Derek David Benthusen, PT,DPT,ATC
• Adam Vincent Bergman, DMD
• Donald Eugene Berisford
• Bernadette Santos MD PA

• All providers in The Villages, FL
• Pharmacist in Florida

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

Verify at the official NPI Registry.