John Bennett, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

6765 Issued in NC

Practice address

106 Linville
Glen Alpine, NC 28628-0836

Phone

(828) 584-0741

Fax

(828) 584-0744

NPI assigned

Jul 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mr. Carl Johnson Bennett Jr. Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clinic Drug Store, Inc

  • Pharmacist
  • Glen Alpine, NC
  • NPI 1932240009
  NPD (past) Authorized official
• Clinic Drug Inc.

  • Community/Retail Pharmacy
  • Morganton, NC
  • NPI 1548570955
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083639017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 LINVILLE",
            "address_2": "P.O. BOX 836",
            "city": "GLEN ALPINE",
            "state": "NC",
            "postal_code": "286280836",
            "telephone_number": "828-584-0741",
            "fax_number": "828-584-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 LINVILLE",
            "city": "GLEN ALPINE",
            "state": "NC",
            "postal_code": "286280836",
            "telephone_number": "828-584-0741",
            "fax_number": "828-584-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "6765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0125450",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARL",
            "last_name": "BENNETT",
            "middle_name": "JOHNSON",
            "prefix": "MR.",
            "suffix": "JR.",
            "credential": "RPH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Blue Ridge Healthcare Medical Group, Inc (Table Rock Family Medicine)
• Clinic Drug Store, Inc
• Dana McCurry
• Table Rock Family Medicine

• Pharmacist in Glen Alpine, NC
• Providers in Glen Alpine, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.