Active NPI
Justin Bennett, PHARMD
- Pharmacist
- Norfolk, NE
National Provider Identifier
1255794822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13748
- Practice address
- 120 N 27TH St
Suite 200
Norfolk, NE 68701-3286 - Phone
- (402) 371-3444
- Fax
- (402) 371-3566
- NPI assigned
- Mar 31, 2016
- Last updated
- Mar 31, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13366 | SC | |
| Pharmacist | 183500000X | 13748 | NE | Primary |
| Pharmacist | 183500000X | 18489 | NV | |
| Pharmacist | 183500000X | 121145 | MN | |
| Pharmacist | 183500000X | 1-15582 | KS | |
| Pharmacist | 183500000X | 20182 | CO |
Addresses
Primary practice location
120 N 27TH St
Suite 200
Norfolk, NE 68701-3286
Mailing address
120 N 27TH St
Suite 200
Norfolk, NE 68701-3286
Phone (402) 371-3444
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20182 | CO | MD | Pharmacist |
| 1-15582 | KS | MD | Pharmacist |
| 121145 | MN | MD | Pharmacist |
| 13748 | NE | MD | Pharmacist |
| 18489 | NV | MD | Pharmacist |
| 13366 | SC | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459382400000",
"number": "1255794822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 N 27TH ST",
"address_2": "SUITE 200",
"city": "NORFOLK",
"state": "NE",
"postal_code": "687013286",
"telephone_number": "402-371-3444",
"fax_number": "402-371-3566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 N 27TH ST",
"address_2": "SUITE 200",
"city": "NORFOLK",
"state": "NE",
"postal_code": "687013286",
"telephone_number": "402-371-3444",
"fax_number": "402-371-3566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "JUSTIN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-31",
"last_updated": "2016-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "13366",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "13748",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "18489",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "121145",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-15582",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "20182",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norfolk, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.