Patricia Benito
Individual provider Active NPI Pharmacist · Lodi, NJ
NPI 1780296129 · NPPES record last updated Aug 18, 2020
Key facts
- NPI
- 1780296129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 28RI03986600 (NJ)
- Practice address
- 20 Arnot St
Lodi, NJ 07644-1614 - Phone
- (973) 470-9494
- NPI assigned
- Aug 18, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03986600 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Eastern Co Inc | Past |
Accepting new patients | |
| Walgreen Eastern Co Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI03986600 | NJ | Yes |
Addresses
Primary practice location
20 Arnot St
Lodi, NJ 07644-1614
Mailing address
20 Arnot St
Lodi, NJ 07644-1614
Phone (973) 470-9494
Other providers in Lodi, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.