Active NPI
Marcel E Benjamin
- Pharmacist
- Costa Mesa, CA
National Provider Identifier
1831390541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- APH11442
- Practice address
- 1525 Mesa Verde Dr E Ste 101
Costa Mesa, CA 92626-5221 - Phone
- (714) 904-6069
- NPI assigned
- May 30, 2007
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | APH11442 | CA | Primary |
Addresses
Primary practice location
1525 Mesa Verde Dr E Ste 101
Costa Mesa, CA 92626-5221
Mailing address
2845 Ver Cruz Street
Corona, CA 92882
Phone (951) 317-8661
Other names 1
- Marcel Hanna
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 |
|---|---|---|---|
| APH11442 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Garden Grove, CA
- NPI 1366552044
-
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718928000000",
"number": "1831390541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2845 VER CRUZ STREET",
"city": "CORONA",
"state": "CA",
"postal_code": "92882",
"telephone_number": "951-317-8661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 MESA VERDE DR E STE 101",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926265221",
"telephone_number": "714-904-6069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENJAMIN",
"first_name": "MARCEL",
"middle_name": "E",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-30",
"last_updated": "2024-06-21",
"certification_date": "2024-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "APH11442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARCEL",
"last_name": "HANNA",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.