DR. STACEY WUTHRICH BENHAM (NPI# 1619388295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619388295 |
| Entity Type | Individual |
| Full Name | DR. STACEY WUTHRICH BENHAM |
| Credential | PHARMD |
| Practice Address |
631 Lakeview Blvd New Braunfels TX 78130-4077 |
| Practice Telephone | 8306270069 |
| Practice Fax Number | 8306270093 |
| Mailing Telephone | 8306270069 |
| Mailing Fax Number | 8306270093 |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2014-05-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835G0303X |
Pharmacist Specialization: Geriatric |
33636 | TX | Pharmacy Service Providers |
| Street Address |
631 LAKEVIEW BLVD |
| City | NEW BRAUNFELS |
| State | TX |
| Zip Code | 78130-4077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144226341 | Eden Home Inc | Skilled Nursing Facility | 631 Lakeview Blvd, New Braunfels, TX 78130-4017 | 2005-06-22 |
| 1700495371 | Lauren Craven | Speech-Language Pathologist | 631 Lakeview Blvd, New Braunfels, TX 78130-4017 | 2020-07-29 |
| 1477175032 | Kellie Noelle Huff | Occupational Therapist | 631 Lakeview Blvd, New Braunfels, TX 78130-4017 | 2020-05-17 |
| 1326606815 | Lauren Goldman | Speech-Language Pathologist | 631 Lakeview Blvd, New Braunfels, TX 78130-4017 | 2019-05-30 |
| 1689238297 | Kristina Gerken | Occupational Therapist | 631 Lakeview Blvd, New Braunfels, TX 78130-4017 | 2019-04-29 |
| 1407336290 | Mario Alberto Melgoza | Occupational Therapist | 631 Lakeview Blvd, New Braunfels, TX 78130-4017 | 2018-08-21 |
| 1689154221 | Cody Williams | Speech-Language Pathologist | 631 Lakeview Blvd, New Braunfels, TX 78130-4017 | 2018-08-14 |
| 1932688942 | Marissa Fisher | Speech-Language Pathologist | 631 Lakeview Blvd, New Braunfels, TX 78130-4017 | 2018-08-09 |
| 1487788626 | John F Svoboda | Pharmacist | 631 Lakeview Blvd, New Braunfels, TX 78130-4017 | 2007-03-16 |
| 1396756979 | Hilltop Pharmacy Inc | Pharmacy | 631 Lakeview Blvd, New Braunfels, TX 78130-4017 | 2006-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841827102 | Madison Johnson | Licensed Vocational Nurse | 3127 Doulglas Fir Dr, New Braunfels, TX 78130 | 2020-03-26 |
| 1558997734 | Children's Dental Ranch of New Braunfels, Pllc | Dentist | 1187 West County Line Rd, Suite 11b, New Braunfels, TX 78130 | 2020-03-19 |
| 1114559432 | Guadalupe Regional Medical Group | Clinic/Center | 1761 S. State Hwy 46, Suite 104, New Braunfels, TX 78130 | 2020-02-05 |
| 1164052536 | Talia Louise Risinger | Specialist/Technologist | 2551 337-loop 337, New Braunfels, TX 78130 | 2020-01-24 |
| 1255971099 | Next Level Orthodontics, Pllc | Dentist | 2084 Central Plaza, Ste 102, New Braunfels, TX 78130 | 2020-01-09 |
| 1568008613 | Carol Abel | Chiropractor | 931 N Ih35 Business, Suite 200, New Braunfels, TX 78130 | 2019-11-25 |
| 1245872910 | Tyler Vassar | Behavior Technician | 475 Oxford Dr. Ste. 104, New Braunfels, TX 78130 | 2019-10-14 |
| 1528617735 | Alexis Ellis | Licensed Practical Nurse | 2619 Pahmeyer Rd, New Braunfels, TX 78130 | 2019-09-10 |
| 1144790718 | Jamie Lynn Taylor | Counselor | 1414 W. San Antonio St, New Braunfels, TX 78130 | 2018-11-27 |
| 1417422270 | Ace Dental09 Pllc | Dentist | 1671 N. Ih 35, Ste 300, New Braunfels, TX 78130 | 2018-10-09 |
| Find all providers in zip 78130 | ||||
| Taxonomy Code | 1835G0303X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Geriatric |
| A pharmacist who is certified in geriatric pharmacy practice is designated as a "Certified Geriatric Pharmacist" (CGP). To become certified, candidates are expected to be knowledgeable about principles of geriatric pharmacotherapy and the provision of pharmaceutical care to the elderly. |
| Notes: Source: Commission for Certification in Geriatric Pharmacy (www.ccgp.org) [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013527779 | James Michael Varnell | Pharmacist | 1900 Silkwood Ct, Keller, TX 76248-8471 | 2020-08-06 |
| 1497378673 | Billy James Poteet | Pharmacist | 5234 89th St, Lubbock, TX 79424-3548 | 2020-05-22 |
| 1780249516 | Jason Branson Sutton | Pharmacist | 3313 Essex Dr # 200, Richardson, TX 75082-9714 | 2019-05-07 |
| 1447758503 | Lyndsi White | Pharmacist | 302 Kylie Ct, Sulphur Springs, TX 75482-6633 | 2018-01-24 |
| 1750891412 | Craig Alan Inman | Pharmacist | 4717 W Wedgefield Rd, Granbury, TX 76049-4042 | 2017-10-09 |
| 1760855704 | Glen Anderson | Pharmacist | 31 Tennis Village Dr, Heath, TX 75032-5995 | 2015-11-12 |
| 1205255429 | Douglas Bryan Smock | Pharmacist | 3313 Essex Drive, Ste 200, Richardson, TX 75082 | 2014-04-15 |
| 1659718971 | Angela Klaire Bazaldua | Pharmacist | 1616 S Kentucky St Ste A140, Amarillo, TX 79102-5215 | 2013-05-28 |
| 1083954044 | Aketi Sturghill | Pharmacist | 4514 Rosemont Ave, Grand Prairie, TX 75052-3536 | 2013-02-27 |
| 1154665768 | J and D Pharmacy | Pharmacist | 12895 Josey Ln., #111, Farmers Branch, TX 75234 | 2012-11-20 |
| Find all providers with the same taxonomy | ||||
| City | NEW BRAUNFELS |
| Zip Code | 78130 |
Please comment or provide details below to improve the information on DR. STACEY WUTHRICH BENHAM.
| 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.