DR. TERENCE GERALD BENSON JR. (NPI# 1427041979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427041979 |
| Entity Type | Individual |
| Full Name | DR. TERENCE GERALD BENSON JR. |
| Credential | PHARMD |
| Practice Address |
2200 Bergquist Dr Ste 1 Lackland Afb TX 78236-9908 |
| Practice Telephone | 2102924645 |
| Mailing Telephone | 2109163608 |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2013-12-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 48068 | TX | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 11935 | NE | Pharmacy Service Providers |
| Street Address |
2200 BERGQUIST DR STE 1 |
| City | LACKLAND AFB |
| State | TX |
| Zip Code | 78236-9908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972031011 | George Benson | General Practice | 2200 Bergquist Dr Ste 1, Lackland Afb, TX 78236-9908 | 2017-06-02 |
| 1467984187 | Trevor Edgington | General Practice | 2200 Bergquist Dr Ste 1, Lackland Afb, TX 78236-9908 | 2017-03-31 |
| 1376938399 | Colette Poole-boykin | Student in an Organized Health Care Education/Training Program | 2200 Bergquist Dr Ste 1, Ste 1, Lackland Afb, TX 78236-9908 | 2015-04-06 |
| 1720210933 | John Ryan Brewer | Ophthalmology | 2200 Bergquist Dr Ste 1, Attn: Credentials (cmc), Lackland Afb, TX 78236-9908 | 2009-08-20 |
| 1023256815 | Risa Cavalcanti Riepma | Dietitian, Registered | 2200 Bergquist Dr Ste 1, Attn: Credentials (cmc), Lackland Afb, TX 78236-9908 | 2009-02-02 |
| 1073767117 | Susan Wright Mongeau | Dentist | 2200 Bergquist Dr Ste 1, Lackland Afb, TX 78236-9908 | 2008-11-14 |
| 1053571018 | Brian Michael Fitzgerald | Anesthesiology | 2200 Bergquist Dr Ste 1, Lackland Afb, TX 78236-9908 | 2008-06-12 |
| 1760649297 | Rayna Lane Wooten | Dietitian, Registered | 2200 Bergquist Dr Ste 1, Lackland Afb, TX 78236-9908 | 2008-05-21 |
| 1235309659 | Margaret Bonnie Cole | Pharmacist | 2200 Bergquist Dr Ste 1, Lackland Afb, TX 78236-9908 | 2008-03-03 |
| 1134397953 | Jean Rae Facchini | Dietitian, Registered | 2200 Bergquist Dr Ste 1, Attn: Credentials (cmc), Lackland Afb, TX 78236-9908 | 2008-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063047363 | Arnoldo Arturo Gonzalez Jr. | Specialist/Technologist | 1033 Truemper St, Lackland Afb, TX 78236 | 2020-03-06 |
| 1023643343 | Meredith Grace Cockerell | Specialist/Technologist | W Military Drive, San Antonio, TX 78236 | 2020-03-06 |
| 1578120598 | Hali Rashelle Hall | Dentist | 1615 Truemper St, Blg 6418, Attn: 59ds/sgdn, Jbsa Lackland, TX 78236 | 2019-05-24 |
| 1952967077 | Paul Fianza Boseman | Nurse Practitioner | 1106 Wilford Hall Loop, San Antonio, TX 78236 | 2019-05-14 |
| 1689161978 | Kelly Jones Buckshire | Dentist | Dunn Dental Clinic, 1615 Truemper Rd, San Antonio, TX 78236 | 2018-04-23 |
| 1902308570 | Roger Louis Farney | Student in an Organized Health Care Education/Training Program | 1100 Wilford Hall Loop Bldg. 4554, Jbsa Lackland Afb, TX 78236 | 2018-02-28 |
| 1568916856 | Thomas Maxwell Woolf | Dentist | 1100 Wilford Hall Ambulatory Surgical Center, Lackland Afb, TX 78236 | 2016-08-04 |
| 1831544956 | Michael Veronneau | Student in an Organized Health Care Education/Training Program | 59 Mdw/ge 1100 Wilford Hall Loop, Bldg. 4554, Jbsa Lackland, TX 78236 | 2016-04-26 |
| 1376906958 | David Kephart Jr. | General Practice | 1100 Wilford Hall Loop Bldg 4454, Jbsa Lackland, TX 78236 | 2016-04-01 |
| 1184084089 | Olivia Arballo | Dermatology | Wilford Hall Asc, Attn: Dept of Dermatology, 1100 Wilford Hall Loop Bldg 4554, Jbsa-lackland, TX 78236 | 2016-03-04 |
| Find all providers in zip 78236 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598900383 | Robert C May | Pharmacist | 2200 Bergquist Suite 1, Lackland Afb, TX 78236 | 2008-12-08 |
| 1770753733 | Andrew Grasso | Pharmacist | 2200 Berquist Drive Suite 1, Wilford Hall Medical Center, Lackland Afb, TX 78236-5300 | 2008-03-06 |
| 1699967554 | Kemba Rasheba Myers | Pharmacist | 2200 Bergguist Drive Suite 1, Lackland Afb, TX 78236 | 2007-08-15 |
| 1407914146 | Wayne Clark Cheatum | Pharmacist | 2200 Bergquist Dr Suite 1, 59 Mdts Pharmacy, Lackland Afb, TX 78236-9908 | 2006-12-05 |
| 1659831352 | Isabella Ruiz | Pharmacist | 1100 Wilford Hall Loop, Lackland Afb, TX 78236-5638 | 2019-03-20 |
| 1760737944 | Simmie Douthit | Pharmacist | 2200 Bergquist Dr, Suite 1, Lackland Afb, TX 78236 | 2012-07-13 |
| 1275834186 | Arnaldo Javier Figueroa | Pharmacist | 2200 Bergquist Dr, 59psq/sgvpi, Lackland Afb, TX 78236 | 2010-11-09 |
| 1417273343 | Jorge Armando Escudero | Pharmacist | 2200 Berquist Drive, Suite 1, Lackland Afb, TX 78236 | 2010-04-16 |
| 1720232549 | Christina Mcquaide | Pharmacist | 2200 Bergquist Dr, Lackland Afb, TX 78236-9907 | 2008-11-06 |
| 1104098797 | Paul Seward | Pharmacist | 2200 Bergquist Dr, Suite 1 59th Psq, Lackland Afb, TX 78236-9907 | 2008-03-24 |
| Find all providers in LACKLAND AFB | ||||
| City | LACKLAND AFB |
| Zip Code | 78236 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.