Nicholas Edmond Bennett, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

S018497 Issued in AZ

Practice address

8325 W Indian School Rd
Phoenix, AZ 85037-2125

Phone

(623) 245-7353

Fax

(623) 245-7347

NPI assigned

Sep 21, 2011

Last updated

Sep 21, 2011By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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.

• Smiths Food & Drug Centers Inc

  dba Frys Food and Drug

  • Community/Retail Pharmacy
  • Phoenix, AZ
  • NPI 1003858531
  NPD (past)
• Smith's Food & Drug Centers Inc

  dba Smith's Pharmacy #303

  • Community/Retail Pharmacy
  • Henderson, NV
  • NPI 1881585248
  NPD (past)

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316563200000",
    "number": "1265715791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2522 N RILEY RD",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853961549",
            "telephone_number": "623-570-1947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8325 W INDIAN SCHOOL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850372125",
            "telephone_number": "623-245-7353",
            "fax_number": "623-245-7347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "NICHOLAS",
        "middle_name": "EDMOND",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-21",
        "last_updated": "2011-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S018497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly N Bennett, LMSW
• Lara Bennett
• Leslie Selina Bennett, BCBA
• Mary Jane Bennett, NP-C
• Matthew E Bennett, M.D.
• Paul G. Bennett, CRNA
• Precious Bennett, LMSW
• Rachael Bennett, FNP-C
• Sandra K Bennett, NP
• Stanley R Bennett, MD

• Pharmacist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; 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.