Active NPI
Sonja Lee Bennett, RPH
- Pharmacist
- Adel, GA
National Provider Identifier
1265721369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15113
- Practice address
- 715 W 4TH St
Adel, GA 31620-2657 - Phone
- (229) 896-2300
- Fax
- (229) 896-1350
- NPI assigned
- Mar 30, 2011
- Last updated
- Mar 30, 2011
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 15113 | GA | Primary |
Addresses
Primary practice location
715 W 4TH St
Adel, GA 31620-2657
Mailing address
715 West 4TH Street
Adel, GA 31620
Phone (229) 896-2300
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
| License | State | Type | Specialty |
|---|---|---|---|
| 15113 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301443200000",
"number": "1265721369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 WEST 4TH STREET",
"city": "ADEL",
"state": "GA",
"postal_code": "31620",
"telephone_number": "229-896-2300",
"fax_number": "229-896-1350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 W 4TH ST",
"city": "ADEL",
"state": "GA",
"postal_code": "316202657",
"telephone_number": "229-896-2300",
"fax_number": "229-896-1350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "SONJA",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-30",
"last_updated": "2011-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "15113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Adel, GA
- Adel Emergency Physicians, LLC
- Brittney Allen, LMFT
- Summer Bryant Alvarez, DO
- B & L Martin Investments LLC (Martins Health Mart Pharmacy)
- Behavioral Health Services of South Georgia (Cook Outpatient Services)
- Lori B Betts, MPT
- Timantha D Booth, PA
- Geneva T. Bradshaw, LPC
- Katherine Key Brogdon, PHARMD
- Kay Brown, BA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.