Healthcare Provider Details

I. General information

NPI: 1568396836
Provider Name (Legal Business Name): KIMBERLY BENSON PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 PERSHING DR # 36
ANSONIA CT
06401-2214
US

IV. Provider business mailing address

24 PERSHING DR # 36
ANSONIA CT
06401-2214
US

V. Phone/Fax

Practice location:
  • Phone: 203-735-7837
  • Fax:
Mailing address:
  • Phone: 203-735-7837
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPCT.0016909
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: