Individual provider Active NPI

Benjamin Shane Williman, RPH

  • Pharmacist
  • Fuquay Varina, NC
National Provider Identifier
1851693626
Registry record updated Nov 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
16704 Issued in NC
Practice address
1371 E Broad St
Fuquay Varina, NC 27526-1966
Phone
(919) 567-7426
NPI assigned
Nov 29, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 16704 NC Primary

Addresses

Primary practice location

1371 E Broad St
Fuquay Varina, NC 27526-1966

Mailing address

1371 E Broad St
Fuquay Varina, NC 27526-1966
Phone (919) 567-7426

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
Credentials
Registered Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290988800000",
    "number": "1851693626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1371 E BROAD ST",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275261966",
            "telephone_number": "919-567-7426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1371 E BROAD ST",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275261966",
            "telephone_number": "919-567-7426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIMAN",
        "first_name": "BENJAMIN",
        "middle_name": "SHANE",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-29",
        "last_updated": "2010-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "16704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fuquay Varina, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; 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.