Jill Elizabeth Bennett, PHARMD

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

PS44916 Issued in FL

Practice address

14965 Old Saint Augustine Rd Unit 108
Jacksonville, FL 32258-9481

Phone

(904) 619-9000

Fax

(904) 634-7458

NPI assigned

Apr 23, 2013

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366675200000",
    "number": "1265876049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 STELLING CT",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322598208",
            "telephone_number": "904-415-5097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14965 OLD SAINT AUGUSTINE RD UNIT 108",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322589481",
            "telephone_number": "904-619-9000",
            "fax_number": "904-634-7458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "JILL",
        "middle_name": "ELIZABETH",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-23",
        "last_updated": "2013-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "FL",
            "license": "PS44916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dejoris Bennett
• Flordeliza L Bennett
• Itzel Maria Bennett
• James Brandon Bennett, DMD
• Janice Richter Bennett, P.A.
• Jo-an Bennett
• Kalyn Bennett
• Katie Beth Bennett, PA-C
• Lillyn Marie Bennett, LOTR, CLT, CFPS
• Lindsey Komara Bennett, LCSW, MCAP

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; 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.