Active NPI
Brenda J Benally, D.PH.
- Pharmacotherapy Pharmacist
- Fort Defiance, AZ
National Provider Identifier
1831254572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 13558
- Practice address
- Intersection Highways N12 & N7
Fort Defiance, AZ 86504-0649 - Phone
- (928) 729-8327
- Fax
- (928) 729-8348
- NPI assigned
- Dec 22, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 13558 | OK | Primary |
Addresses
Primary practice location
Intersection Highways N12 & N7
Fort Defiance, AZ 86504-0649
Mailing address
PO Box 4140
604 Jeddito
Window Rock, AZ 86515-4140
Phone (928) 871-2447
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 |
|---|---|---|---|
| 13558 | OK | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831254572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4140",
"address_2": "604 JEDDITO",
"city": "WINDOW ROCK",
"state": "AZ",
"postal_code": "865154140",
"telephone_number": "928-871-2447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "INTERSECTION HIGHWAYS N12 & N7",
"city": "FORT DEFIANCE",
"state": "AZ",
"postal_code": "865040649",
"telephone_number": "928-729-8327",
"fax_number": "928-729-8348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENALLY",
"first_name": "BRENDA",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "OK",
"license": "13558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Defiance, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.