Individual provider Active NPI

Benjamin Blomeke

  • Pharmacotherapy Pharmacist
  • Battle Creek, MI
National Provider Identifier
1992134571
Registry record updated May 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
5302032523 Issued in MI
Practice address
6405 B Dr N
Meijer Pharmacy, Store 195
Battle Creek, MI 49014-7573
Phone
(269) 979-6610
Fax
(269) 979-6665
NPI assigned
Nov 5, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X 5302032523 MI Primary

Addresses

Primary practice location

6405 B Dr N
Meijer Pharmacy, Store 195
Battle Creek, MI 49014-7573

Mailing address

9201 S 6TH St
Kalamazoo, MI 49009-8937
Phone (269) 384-9505

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

LicenseStateTypeSpecialty
5302032523MIMDPharmacotherapy Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Meijer Inc Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399852800000",
    "number": "1992134571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 S 6TH ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490098937",
            "telephone_number": "269-384-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 B DR N",
            "address_2": "MEIJER PHARMACY, STORE 195",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490147573",
            "telephone_number": "269-979-6610",
            "fax_number": "269-979-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOMEKE",
        "first_name": "BENJAMIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-05",
        "last_updated": "2014-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "MI",
            "license": "5302032523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; 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.