Provider Demographics
NPI:1073987442
Name:BENEVI HEALTH LLC
Entity Type:Organization
Organization Name:BENEVI HEALTH LLC
Other - Org Name:BENEVI HEALTH LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NICOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPORCARO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-377-1331
Mailing Address - Street 1:11800 WESTON PKWY
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-2292
Mailing Address - Country:US
Mailing Address - Phone:919-377-1300
Mailing Address - Fax:919-377-1319
Practice Address - Street 1:13000 WESTON PKWY STE 105
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-2250
Practice Address - Country:US
Practice Address - Phone:800-914-0694
Practice Address - Fax:919-377-1319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-22
Last Update Date:2017-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOSP.00067623336S0011X
AK1080443336S0011X
FLPH297253336S0011X
IA46433336S0011X
CTPCN.00030943336S0011X
IL054.0199703336S0011X
DEA9-00000018423336S0011X
GAPHNR0008913336S0011X
KS22-450183336S0011X
ID41803MS3336S0011X
AROS026893336S0011X
IN64002164A3336S0011X
AZY0068523336S0011X
HIPMP-12953336S0011X
DCNRX00009643336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2155536OtherPK