Active NPI
Bennett Jackson Doughty, PHARMD, BCPS, BCPP
- Psychiatric Pharmacist
- Sayre, PA
National Provider Identifier
1346797818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Pharmacist
- License
- RP452472
- Practice address
- 1 Guthrie SQ
Sayre, PA 18840 - Phone
- (570) 888-5858
- NPI assigned
- Sep 1, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PCT.0013678 | CT | |
| Psychiatric Pharmacist | 1835P1300X | RP452472 | PA | Primary |
Addresses
Primary practice location
1 Guthrie SQ
Sayre, PA 18840
Mailing address
PO Box 6000
Binghamton, NY 13902-6000
Phone (207) 313-9268
Other practice location 1
950 Campbell Ave
West Haven, CT 06516-2770
Phone (203) 932-5711 ext. 3099
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 |
|---|---|---|---|
| PCT.0013678 | CT | MD | Pharmacist |
| RP452472 | PA | MD | Psychiatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545609600000",
"number": "1346797818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6000",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139026000",
"telephone_number": "207-313-9268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 GUTHRIE SQ",
"city": "SAYRE",
"state": "PA",
"postal_code": "18840",
"telephone_number": "570-888-5858"
}
],
"practiceLocations": [
{
"address_1": "950 Campbell Ave",
"address_purpose": "LOCATION",
"city": "West Haven",
"state": "CT",
"postal_code": "065162770",
"country_code": "US",
"telephone_number": "203-932-5711 x3099",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOUGHTY",
"first_name": "BENNETT",
"middle_name": "JACKSON",
"name_prefix": "Dr.",
"credential": "PHARMD, BCPS, BCPP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-01",
"last_updated": "2018-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PCT.0013678",
"primary": false
},
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "PA",
"license": "RP452472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sayre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.