Active NPI
Robert Mark Benge, DPH
- Pharmacist
- Oklahoma City, OK
National Provider Identifier
1902345002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10499
- Practice address
- 4425 SW 21St St
Oklahoma City, OK 73108-1748 - Phone
- (800) 822-4607
- Fax
- (866) 283-1110
- NPI assigned
- Feb 22, 2017
- 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 | 10499 | OK | Primary |
Addresses
Primary practice location
4425 SW 21St St
Oklahoma City, OK 73108-1748
Mailing address
4425 SW 21St St
Oklahoma City, OK 73108-1748
Phone (800) 822-4607
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 |
|---|---|---|---|
| 10499 | OK | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pharmacy Corporation of America | Past | Accepting new patients | |
| Pharmacy Corporation of America | 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.
-
- Long Term Care Pharmacy
- Oklahoma City, OK
- NPI 1962839910
-
- Long Term Care Pharmacy
- Milwaukee, WI
- NPI 1124665336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487721600000",
"number": "1902345002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4425 SW 21ST ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731081748",
"telephone_number": "800-822-4607",
"fax_number": "866-283-1110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4425 SW 21ST ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731081748",
"telephone_number": "800-822-4607",
"fax_number": "866-283-1110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENGE",
"first_name": "ROBERT",
"middle_name": "MARK",
"credential": "DPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-22",
"last_updated": "2017-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "10499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.