Individual provider Active NPI

Renee R Bendetto, RPH

  • Pharmacist
  • Pittston, PA
National Provider Identifier
1144406125
Registry record updated Jan 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP032567L Issued in PA
Practice address
225 Overlook Dr
Pittston, PA 18640-1058
Phone
(570) 655-1911
Fax
(570) 655-1472
NPI assigned
Jan 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP032567L PA Primary

Addresses

Primary practice location

225 Overlook Dr
Pittston, PA 18640-1058

Mailing address

225 Overlook Dr
Pittston, PA 18640-1058
Phone (570) 655-1911

Other names 1

  • Miss Renee R Venarucci Former name

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RP032567LPAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1200873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200873600000",
    "number": "1144406125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 OVERLOOK DR",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186401058",
            "telephone_number": "570-655-1911",
            "fax_number": "570-655-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 OVERLOOK DR",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186401058",
            "telephone_number": "570-655-1911",
            "fax_number": "570-655-1472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDETTO",
        "first_name": "RENEE",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-21",
        "last_updated": "2008-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP032567L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "VENARUCCI",
            "middle_name": "R",
            "prefix": "MISS",
            "credential": "RPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pittston, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2008; 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.