Benton Bristol, PHARMD

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

PH60877306 Issued in WA

Practice address

106 1St St S
Yelm, WA 98597-7700

Phone

(360) 458-8467

NPI assigned

Sep 28, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Tim'S Pharmacy & Gift Shop, LTD

  • Long Term Care Pharmacy
  • Yelm, WA
  • NPI 1669066460
  NPD
• Tim'S Pharmacy & Gift Shop, LTD

  • Community/Retail Pharmacy
  • Yelm, WA
  • NPI 1760475016

  Pharmacist

  NPD

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

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1922583558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 PACIFIC AVE SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "98503",
            "telephone_number": "360-486-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 1ST ST S",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985977700",
            "telephone_number": "360-458-8467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISTOL",
        "first_name": "BENTON",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-28",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60877306",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "WA",
            "license": "PH60877306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bmore Family Practice PLLC
• Kristin Bogar, CPHT
• Denise E Boyd, PT
• Tanya Brandt, PTA
• Mary Doreen Briles
• Robert Jerome Bromberg, BA, CDP
• Taylor Elizabeth Brown, PT, DPT
• Lorraine Brownfield
• Tamara C Bunn, M.D.
• Tamela Renee Burrell-Verbarg, O.D.

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Yelm, WA
• Providers in Yelm, WA by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.