Individual provider Active NPI

Benjamin Carson McNabb, PHARMD

  • Pharmacist
  • Eastland, TX
National Provider Identifier
1992294292
Registry record updated May 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
52078 Issued in TX
Practice address
805 W Main St
Eastland, TX 76448-2536
Phone
(254) 629-1791
Fax
(254) 629-3177
NPI assigned
May 2, 2018
Last updated
May 2, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 52078 TX Primary

Addresses

Primary practice location

805 W Main St
Eastland, TX 76448-2536

Mailing address

805 W Main St
Eastland, TX 76448-2536
Phone (254) 629-1791

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
52078TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Eastland Drug Company Incorporated Current Accepting new patients

Locations

805 W Main St
Eastland, TX 76448
Phone (254) 629-1791

Organizations & group practices 5

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": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1992294292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 W MAIN ST",
            "city": "EASTLAND",
            "state": "TX",
            "postal_code": "764482536",
            "telephone_number": "254-629-1791",
            "fax_number": "254-629-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 W MAIN ST",
            "city": "EASTLAND",
            "state": "TX",
            "postal_code": "764482536",
            "telephone_number": "254-629-1791",
            "fax_number": "254-629-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNABB",
        "first_name": "BENJAMIN",
        "middle_name": "CARSON",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-02",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "52078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; 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.