Individual provider Active NPI

Benita D Carpenter, D.PH.

  • Pharmacist
  • Eagleville, TN
National Provider Identifier
1881696870
Registry record updated Jun 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
C4647 Issued in TN
Practice address
1005 South Main Street
Eagleville, TN 37060-4715
Phone
(615) 274-6868
Fax
(615) 274-2324
NPI assigned
Aug 10, 2005
Last updated
Jun 21, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 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 C4647 TN Primary

Addresses

Primary practice location

1005 South Main Street
Eagleville, TN 37060-4715

Mailing address

1005 South Main Street
P O Box 127
Eagleville, TN 37060-4715
Phone (615) 274-6868

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

LicenseStateTypeSpecialty
C4647TNMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277078400000",
    "number": "1881696870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 SOUTH MAIN STREET",
            "address_2": "P O BOX 127",
            "city": "EAGLEVILLE",
            "state": "TN",
            "postal_code": "370604715",
            "telephone_number": "615-274-6868",
            "fax_number": "615-274-2324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 SOUTH MAIN STREET",
            "city": "EAGLEVILLE",
            "state": "TN",
            "postal_code": "370604715",
            "telephone_number": "615-274-6868",
            "fax_number": "615-274-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "BENITA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2010-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "C4647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagleville, TN

Sources for this page

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