Abdelwahad Bendamkila

Primary specialty

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

License

5302034379 Issued in MI

Practice address

1701 M 139
Benton Harbor, MI 49022-6101

Phone

(269) 823-4801

NPI assigned

Nov 4, 2008

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225756800000",
    "number": "1942453972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7626 MID TOWN RD",
            "address_2": "# 205",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53719",
            "telephone_number": "269-823-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 M 139",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490226101",
            "telephone_number": "269-823-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDAMKILA",
        "first_name": "ABDELWAHAD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-04",
        "last_updated": "2008-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MI",
            "license": "5302034379",
            "primary": true
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "WI",
            "license": "14839-040",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dalton Theophilous Beckles, MSW
• Anecia Renae Beene
• Georgia Begnaud, CNM
• Matthew Beilman
• Trenell D Bell
• Justin L Bennett
• Amanda Cayo Bentley, DNP, FNP-C
• Benton Harbor Health Center PLLC
• Benton Harbor Opco II LLC
• Dena Berchin

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Benton Harbor, MI
• Providers in Benton Harbor, MI by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; 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.