Kristian Teody Buenconsejo Benig, PHARMD

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

051304441 Issued in IL

Practice address

9554 E Lincoln Hwy
Frankfort, IL 60423-1892

Phone

(815) 806-0438

Fax

(815) 806-9154

NPI assigned

Apr 11, 2022

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

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1770225682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7512 162ND ST",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771541",
            "telephone_number": "708-441-9336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9554 E LINCOLN HWY",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231892",
            "telephone_number": "815-806-0438",
            "fax_number": "815-806-9154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENIG",
        "first_name": "KRISTIAN TEODY",
        "middle_name": "BUENCONSEJO",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "IL",
            "license": "051304441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Leigh Belitz, M.A., CCC-SLP/L
• Julie Ann Belka, M.A.
• Kristin Bell, LCPC
• Lucas Beltran
• Nathan Benard
• Ronald Wayne Bennett, LCPC
• Robin B Bentley-Lee, LCPC
• Bessie Berdusis, PHARMD
• Sherrie Michelle Berry
• Beth Psychiatry LLC

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Frankfort, IL
• Providers in Frankfort, IL by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.