Active NPI
Genevieve Benjamin, PHARMACIST
- Pharmacist
- Irvine, CA
National Provider Identifier
1952542292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH58193
- Practice address
- 17332 Von Karman Ave
Irvine, CA 92614 - Phone
- (949) 393-5780
- Fax
- (949) 393-5790
- NPI assigned
- Mar 17, 2009
- Last updated
- Jun 20, 2022
- Sex
- Female
- 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 | RPH58193 | CA | Primary |
Addresses
Primary practice location
17332 Von Karman Ave
Irvine, CA 92614
Mailing address
17332 Von Karman Ave Ste 110
Irvine, CA 92614-6280
Phone (949) 393-5780
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | genevieve.benjamin@repharmacy.com | Direct |
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 |
|---|---|---|---|
| RPH58193 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinivoy LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655683200000",
"number": "1952542292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17332 VON KARMAN AVE STE 110",
"city": "IRVINE",
"state": "CA",
"postal_code": "926146280",
"telephone_number": "949-393-5780",
"fax_number": "949-393-5790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17332 VON KARMAN AVE",
"city": "IRVINE",
"state": "CA",
"postal_code": "92614",
"telephone_number": "949-393-5780",
"fax_number": "949-393-5790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENJAMIN",
"first_name": "GENEVIEVE",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-17",
"last_updated": "2022-06-20",
"certification_date": "2022-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH58193",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "genevieve.benjamin@repharmacy.com",
"affiliation": "N",
"endpointDescription": "genevieve.benjamin@repharmacy.com",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "17332 Von Karman Ave",
"city": "Irvine",
"state": "CA",
"country_code": "US",
"postal_code": "92614",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.