Active NPI
Benjamin Sand
- Pharmacist
- Booneville, MS
National Provider Identifier
1821867227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E16088
- Practice address
- 206 N 2ND St
Booneville, MS 38829-2702 - Phone
- (662) 728-1951
- Fax
- (662) 728-1873
- NPI assigned
- Dec 27, 2023
- Last updated
- Dec 27, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | E16088 | MS | Primary |
Addresses
Primary practice location
206 N 2ND St
Booneville, MS 38829-2702
Mailing address
206 N 2ND St
Booneville, MS 38829-2702
Phone (662) 728-1951
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E16088 | MS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Booneville Community Pharmacy of Ms Inc. | Current | Accepting new patients | |
| Booneville Community Pharmacy of Msinc | Past | Accepting new patients |
Locations
206 N 2nd St
Booneville, MS 38829
Phone (662) 728-1951
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Long Term Care Pharmacy
- Booneville, MS
- NPI 1972150472
-
dba Booneville Community Pharmacy
- Community/Retail Pharmacy
- Booneville, MS
- NPI 1679651186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703635200000",
"number": "1821867227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 N 2ND ST",
"city": "BOONEVILLE",
"state": "MS",
"postal_code": "388292702",
"telephone_number": "662-728-1951",
"fax_number": "662-728-1873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 N 2ND ST",
"city": "BOONEVILLE",
"state": "MS",
"postal_code": "388292702",
"telephone_number": "662-728-1951",
"fax_number": "662-728-1873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAND",
"first_name": "BENJAMIN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-12-27",
"last_updated": "2023-12-27",
"certification_date": "2023-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E16088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Booneville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.