Russle Calvinist Benson, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

81676 Issued in CA

Practice address

1800 N Perris Blvd
Perris, CA 92571-2701

Phone

(951) 940-0440

NPI assigned

Feb 21, 2020

Sex

Male

Sole proprietor

No

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, last updated by the provider on Feb 21, 2020.

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1811520489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12168 YOUNGDALE AVE",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913425261",
            "telephone_number": "818-748-5508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N PERRIS BLVD",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925712701",
            "telephone_number": "951-940-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSON",
        "first_name": "RUSSLE",
        "middle_name": "CALVINIST",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-21",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "81676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martina Basta, DDS
• Halbert Beaver
• Stacey Leeanne Beckman
• Veronica Denay Bejarano
• Masum Abdul Khabir Bennerson, PRC
• Brian Keith Bernard, PTA
• Rochelle Bernarte
• Jereme Dewayne Berryhill
• Alicia Betancur, MS
• BGM Medical Services Inc a Medical Corporation

• All providers in Perris, CA
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.