Benckall Group Incorporated

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

17518 Issued in TX

Legal business name

BENCKALL GROUP INCORPORATED

Doing business as

Washington Ave Pharmacy Center

Practice address

2515 Washington Ave
Ste 1401
Houston, TX 77007-6342

Phone

(713) 864-2401

Fax

(713) 864-2153

NPI assigned

Aug 10, 2006

Last updated

Apr 5, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cyprian Ezeude, RPH

Title

Presdent

Phone

(713) 864-2401

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• WASHINGTON AVE PHARMACY CENTER Doing business as

Tax ID family

Benckall Group Incorporated2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Benckall Group Incorporated

  dba Total Pharmacy Center One

  • Community/Retail Pharmacy
  • Houston, TX
  • NPI 1396838744
  NPD tax ID

Locations

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1962413450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 WASHINGTON AVE",
            "address_2": "STE 1401",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770076342",
            "telephone_number": "713-864-2401",
            "fax_number": "713-864-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 WASHINGTON AVE",
            "address_2": "STE 1401",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770076342",
            "telephone_number": "713-864-2401",
            "fax_number": "713-864-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENCKALL GROUP INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A",
        "authorized_official_last_name": "EZEUDE",
        "authorized_official_first_name": "CYPRIAN",
        "authorized_official_title_or_position": "PRESDENT",
        "authorized_official_telephone_number": "713-864-2401",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "17518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144613",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2104647",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148672",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WASHINGTON AVE PHARMACY CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WASHINGTON AVE PHARMACY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Francis Joshua Benavidez
• Vivianne Marie Benbrook, MD
• Benchmark Houston Inc. (Benchmark Home Health)
• Benchmark Services Unlimited LLC
• Benckall Group Incorporated (Total Pharmacy Center One)
• Benco Healthcare Corporation
• Benco Healthcare Services Inc.
• Bendeloaks Healthcare Services Inc.
• Adam J Bender, PT, DPT
• Guy Bender

• Community/Retail Pharmacy in Houston, TX
• Providers in Houston, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.