Active NPI
Mark David Bennett
- Pharmacist
- Pottstown, PA
National Provider Identifier
1528168952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP044103L
- Practice address
- 206 North Charlotte Street
Pottstown, PA 19464 - Phone
- (610) 326-9690
- Fax
- (610) 326-9723
- NPI assigned
- Sep 25, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP044103L | PA | Primary |
Addresses
Primary practice location
206 North Charlotte Street
Pottstown, PA 19464
Mailing address
84 Valleybrook Road
Boyertown, PA 19512
Phone (610) 473-0859
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
| License | State | Type | Specialty |
|---|---|---|---|
| RP044103L | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528168952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "84 VALLEYBROOK ROAD",
"city": "BOYERTOWN",
"state": "PA",
"postal_code": "19512",
"telephone_number": "610-473-0859",
"fax_number": "610-473-0859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 NORTH CHARLOTTE STREET",
"city": "POTTSTOWN",
"state": "PA",
"postal_code": "19464",
"telephone_number": "610-326-9690",
"fax_number": "610-326-9723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "MARK",
"middle_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP044103L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pottstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.