Active NPI
Diana I. Bennett
- Pharmacy Technician
- Bronx, NY
National Provider Identifier
1144203407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 0101-0407-7314-645
- Practice address
- 1030 Sheridan Ave
Bronx, NY 10456-6100 - Phone
- (917) 792-7600
- Fax
- (917) 792-7603
- NPI assigned
- Nov 21, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 0101-0407-7314-645 | NY | Primary |
Addresses
Primary practice location
1030 Sheridan Ave
Bronx, NY 10456-6100
Mailing address
21930 Stewart Rd
Queens Village, NY 11427-1110
Phone (718) 464-5364
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0101-0407-7314-645 | Other | NY | PHARMACY TECHNICIAN |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101-0407-7314-645 | NY | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336003200000",
"number": "1144203407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21930 STEWART RD",
"city": "QUEENS VILLAGE",
"state": "NY",
"postal_code": "114271110",
"telephone_number": "718-464-5364",
"fax_number": "718-464-5364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 SHERIDAN AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104566100",
"telephone_number": "917-792-7600",
"fax_number": "917-792-7603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "DIANA",
"middle_name": "I.",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-21",
"last_updated": "2012-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "NY",
"license": "0101-0407-7314-645",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY TECHNICIAN",
"identifier": "0101-0407-7314-645",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.