Active NPI
Sara Bennett, RPH, PHARMD
- Pharmacist
- Swainsboro, GA
National Provider Identifier
1104526516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH034154
- Practice address
- 414 S Main St
Swainsboro, GA 30401-3676 - Phone
- (478) 237-3524
- NPI assigned
- Mar 6, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH034154 | GA | Primary |
Addresses
Primary practice location
414 S Main St
Swainsboro, GA 30401-3676
Mailing address
101 Bruce Dr
Statesboro, GA 30458-5429
Phone (706) 302-9030
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RPH034154 | Other | GA | GA BOARD OF PHARMACY PHARMACIST LICENSE NO. |
| 1259484 | Other | GA | NABP NUMBER |
Other names 1
- Sara Crowe
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH034154 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678060800000",
"number": "1104526516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 BRUCE DR",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304585429",
"telephone_number": "706-302-9030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 S MAIN ST",
"city": "SWAINSBORO",
"state": "GA",
"postal_code": "304013676",
"telephone_number": "478-237-3524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "SARA",
"credential": "RPH, PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-06",
"last_updated": "2023-03-06",
"certification_date": "2023-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH034154",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GA BOARD OF PHARMACY PHARMACIST LICENSE NO.",
"identifier": "RPH034154",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP NUMBER",
"identifier": "1259484",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SARA",
"last_name": "CROWE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Swainsboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.