Healthcare Provider Details

I. General information

NPI: 1356919724
Provider Name (Legal Business Name): BENJAMIN MICHAEL HAMMER PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2021
Last Update Date: 06/14/2021
Certification Date: 06/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 MICHIGAN AVE NW
WASHINGTON DC
20010-2916
US

IV. Provider business mailing address

1875 CALIFORNIA ST NW APT 4
WASHINGTON DC
20009-1872
US

V. Phone/Fax

Practice location:
  • Phone: 202-476-4083
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0200X
TaxonomyPediatric Pharmacist
License NumberIND-901800
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: