BENTON DWIGHT (NPI# 1952561250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952561250 |
| Entity Type | Individual |
| Full Name | BENTON DWIGHT |
| Credential | CLINICAL PHARMACIST |
| Practice Address |
12400 Smokey Mountain Way Ne Albuquerque NM 87111-7274 |
| Mailing Address |
Po Box 92752 Albuquerque NM 87199-2752 |
| Practice Telephone | 5052716996 |
| Mailing Telephone | 5052716996 |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2008-06-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
5490 | NM | Pharmacy Service Providers |
| Street Address |
12400 SMOKEY MOUNTAIN WAY NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87111-7274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417438110 | Dehlen LLC | Counselor | 11000 Spain Rd Ne, Building E, Albuquerque, NM 87111 | 2018-08-22 |
| 1003313008 | Jessika Junick | Nurse Practitioner | 3825 Eubank Blvd Ne Ste A, Albuquerque, NM 87111 | 2018-04-07 |
| 1881113454 | Hayley Aragon-bell | Day Training/Habilitation Specialist | 3732 Mount Rainier Dr. Ne, Albuquerque, NM 87111 | 2017-09-14 |
| 1750803326 | Sarah Mckenzie Ochoa | Day Training/Habilitation Specialist | 3916 Garcia St Ne, Albuquerque, NM 87111 | 2017-07-14 |
| 1285179549 | Family Dental Health Care | Dentist | 4550 Eubank Blvd, Suite 203, Albuquerque, NM 87111 | 2016-12-22 |
| 1871036202 | Shobha Jagannath | Nurse Practitioner | 10700 Academy Rd Ne Apt 216, Albuquerque, NM 87111 | 2016-12-03 |
| 1508319310 | Mariana Boitano | Licensed Practical Nurse | 5400 Gibson Blvd., Albuquerque, NM 87111 | 2016-07-28 |
| 1184011082 | Adam Halpern | Specialist/Technologist | 4204 Parsifal St, Albuquerque, NM 87111 | 2015-04-20 |
| 1083015770 | Cvs Pharmacy | Public Health or Welfare | 5516 Camino Arbustos Ne, Albuquerque, NM 87111 | 2014-09-12 |
| 1508276973 | Stephanie Gonzales | Physician Assistant | 12241 Academy Rd Ne Ste 204, Albuquerque, NM 87111 | 2014-05-06 |
| Find all providers in zip 87111 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831752286 | Eillim De Jesus Rentas | Pharmacist | 6301 Alameda Blvd Ne Unit 1051, Albuquerque, NM 87113-2583 | 2019-04-20 |
| 1720589336 | Colin Wingfield Williams | Pharmacist | 8100 Constitution Pl Ne Ste 300, Albuquerque, NM 87110-7643 | 2018-02-28 |
| 1669855698 | Krystle Tapia | Pharmacist | 601 Menaul Blvd Ne, Unit 203, Albuquerque, NM 87107-1531 | 2015-07-08 |
| 1043642200 | Ladonna Marie Bonnin | Pharmacist | Msc09 5080, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2013-07-30 |
| 1649550526 | Rucha Bond | Pharmacist | Msc 09 5360, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2011-08-23 |
| 1871871236 | Patricia Marshik | Pharmacist | Msc09 5360, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2011-08-02 |
| 1417280561 | James L Maestas | Pharmacist | 11421 Paseo Del Oso Ne, Albuquerque, NM 87111-2666 | 2009-09-08 |
| 1457504177 | Thanh-huong Nguyen | Pharmacist | 1909 Sea Foam St Nw, Albuquerque, NM 87120-6245 | 2008-10-25 |
| 1427662527 | Amre Elmaoued | Pharmacist | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-09-04 |
| 1730719386 | Maria Gabriela Cabanilla | Pharmacist | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-01-23 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87111 |
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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.