Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1538883848 Individual Practitioner Male Practitioner

Dr. Benjamin William Komistra , PharmD, RPH

Pharmacist • Kenosha, WI

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Benjamin Komistra, PharmD, RPH is a registered healthcare professional specializing in Pharmacist in Kenosha, WI. Official NPI practice address is registered at 4924 7TH AVE.

Practice Location & Contact Primary Location

Practice Address

4924 7th Ave

Kenosha, WI 531403349

Telephone 2629979573
Fax 2629979574
Associated Practice Facility / Clinic
🏢 Modern Apothecary, Llc Facility NPI 1407265598

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Kenosha, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
86 Specialists

Practicing in Kenosha, WI (5503 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-09-29
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License WI 19339-40

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1164654695

Doctor of Pharmacy (Pharm.D.)

NPI 1306330592

Doctor of Pharmacy (Pharm.D.)

NPI 1790406288

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 29, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location September 29, 2022

Registered at 4924 7TH AVE, KENOSHA, WI 531403349 (Tel: 2629979573)

📍
Updated Business Mailing Address September 29, 2022

Registered at 4924 7TH AVE, KENOSHA, WI 531403349 (Tel: 2629979573)

👤
Provider Name / Credentials Updated September 29, 2022

Recorded as BENJAMIN KOMISTRA, PHARMD, RPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 29, 2022

Pharmacist (License #19339-40 in WI)

🟢
Initial NPI Registration & Enumeration September 29, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538883848
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 29, 2022
Last Update: September 29, 2022
Sole Proprietor: Yes

Mailing Address

4924 7th Ave

Kenosha, WI 531403349

Phone: 2629979573

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.