Active NPI
Lindsay Kohler Bennethum, PHARMD, BCOP, CPP
- Oncology Pharmacist
- Hillsborough, NC
National Provider Identifier
1417656208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Pharmacist
- License
- 30549
- Practice address
- 460 Waterstone Dr
Hillsborough, NC 27278-9078 - Phone
- (984) 215-0000
- NPI assigned
- Mar 1, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Oncology Pharmacist | 1835X0200X | 30549 | NC | Primary |
Addresses
Primary practice location
460 Waterstone Dr
Hillsborough, NC 27278-9078
Mailing address
11991 McBride Dr
Raleigh, NC 27613-8338
Phone (434) 825-2124
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 |
|---|---|---|---|
| 30549 | NC | MD | Oncology Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711324800000",
"number": "1417656208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11991 MCBRIDE DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276138338",
"telephone_number": "434-825-2124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 WATERSTONE DR",
"city": "HILLSBOROUGH",
"state": "NC",
"postal_code": "272789078",
"telephone_number": "984-215-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETHUM",
"first_name": "LINDSAY",
"middle_name": "KOHLER",
"credential": "PHARMD, BCOP, CPP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-01",
"last_updated": "2024-03-25",
"certification_date": "2024-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "1835X0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Oncology",
"state": "NC",
"license": "30549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hillsborough, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.