Individual provider Active NPI

Johanne Elizabeth Bennett

  • Pharmacist
  • Junction City, KS
National Provider Identifier
1447548706
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
22000 Issued in NC
Practice address
407 S Washington St
Junction City, KS 66441-3748
Phone
(785) 238-1000
Fax
(785) 238-5555
NPI assigned
Jul 20, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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

State licenses

LicenseStateTypeSpecialty
22000NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
JC Pharmacy LLC PastSince May 31, 2020 Accepting new patients
JC Pharmacy LLC PastSince Jun 18, 2023 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 22000 NC Primary

Addresses

NPPES NPI Registry

Primary practice location

407 S Washington St
Junction City, KS 66441-3748

Mailing address

407 S Washington St
Junction City, KS 66441-3748
Phone (785) 238-1000

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
22000OtherNCNC LICENSE
1-17064OtherKSKS LICENSE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 17, 2017.

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489708800000",
    "number": "1447548706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 S WASHINGTON ST",
            "city": "JUNCTION CITY",
            "state": "KS",
            "postal_code": "664413748",
            "telephone_number": "785-238-1000",
            "fax_number": "785-238-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 S WASHINGTON ST",
            "city": "JUNCTION CITY",
            "state": "KS",
            "postal_code": "664413748",
            "telephone_number": "785-238-1000",
            "fax_number": "785-238-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "JOHANNE",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-20",
        "last_updated": "2017-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "22000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC LICENSE",
            "identifier": "22000",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KS LICENSE",
            "identifier": "1-17064",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Junction City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; 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.