Benjamin Seagren

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH031894 Issued in GA

Practice address

5985 Peachtree Pkwy
Peachtree Corners, GA 30092-2818

Phone

(678) 421-9599

Fax

(678) 421-0364

NPI assigned

Jul 28, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1801204391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5985 PEACHTREE PKWY",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300922818",
            "telephone_number": "678-421-9599",
            "fax_number": "678-421-0364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5985 PEACHTREE PKWY",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300922818",
            "telephone_number": "678-421-9599",
            "fax_number": "678-421-0364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1340 Dekalb Ave",
            "address_purpose": "LOCATION",
            "city": "Sycamore",
            "state": "IL",
            "postal_code": "601782750",
            "country_code": "US",
            "telephone_number": "815-895-4609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEAGREN",
        "first_name": "BENJAMIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-28",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.297580",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH031894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Peachtree Corners, GA
• Providers in Peachtree Corners, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.