Kadian Bennett, PHARMD
Individual provider Active NPI Pharmacist · Charlotte Amalie, VI
NPI 1033760368 · NPPES record last updated Oct 2, 2019
Key facts
- NPI
- 1033760368
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 359 (VI)
- Practice address
- 4030 Annas Retreat
Charlotte Amalie, VI 00802-2221 - Phone
- (340) 777-9255
- NPI assigned
- Sep 27, 2019
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 359 | VI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current |
Accepting new patients | |
| Walgreen Co | Past |
Accepting new patients |
Locations
4030 Annas Retreat
St Thomas, VI 00802
Phone (340) 777-9255
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 359 | VI | Yes |
Addresses
Primary practice location
4030 Annas Retreat
Charlotte Amalie, VI 00802-2221
Mailing address
4030 Annas Retreat
Charlotte Amalie, VI 00802-2221
Phone (340) 777-9255
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS52183 | Other | FL | APHA |
| 359 | Other | VI | VIRGIN ISLANDS PHARMACIST LICENSE |
| 50-3800 | Other | APHA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | rxm |
Other providers in Charlotte Amalie, VI
- Able Investments, LLC
- Ann Gruver Barnard
- Normajean Harbur Basile
- Coral N Breuning
- Andrew Martin Buckley
- Central Ambulance Services Inc.
- Kelly Edens
- Randall Emert
All providers in Charlotte Amalie, VI · Pharmacist in U.S. Virgin Islands
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.