Active NPI
J. Michael Bennett, PHARM D
- Pharmacist
- Mobile, AL
National Provider Identifier
1598886335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14492
- Practice address
- 3207 International Dr
Suite F
Mobile, AL 36606-3020 - Phone
- (251) 478-0758
- Fax
- (251) 478-0227
- NPI assigned
- Apr 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20379 | GA | |
| Pharmacist | 183500000X | 14492 | AL | Primary |
| Pharmacist | 183500000X | 22976 | TN | |
| Pharmacist | 183500000X | PD10051 | AR | |
| Pharmacist | 183500000X | 013248 | KY | |
| Pharmacist | 183500000X | 017989 | LA |
Addresses
Primary practice location
3207 International Dr
Suite F
Mobile, AL 36606-3020
Mailing address
8279 Magnolia Village Dr N
Mobile, AL 36695-6237
Phone (251) 478-0758
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 |
|---|---|---|---|
| PD10051 | AR | MD | Pharmacist |
| 20379 | GA | MD | Pharmacist |
| 013248 | KY | MD | Pharmacist |
| 017989 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Burklow Development Inc | Past | Accepting new patients | |
| Applied Pharmacy Services, Inc | Past | Accepting new patients |
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.
-
- Mail Order Pharmacy
- Mobile, AL
- NPI 1669682233
-
dba American Pharmacy Solutions
- Community/Retail Pharmacy
- Mobile, AL
- NPI 1558517508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598886335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8279 MAGNOLIA VILLAGE DR N",
"city": "MOBILE",
"state": "AL",
"postal_code": "366956237",
"telephone_number": "251-478-0758",
"fax_number": "251-478-0758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3207 INTERNATIONAL DR",
"address_2": "SUITE F",
"city": "MOBILE",
"state": "AL",
"postal_code": "366063020",
"telephone_number": "251-478-0758",
"fax_number": "251-478-0227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "J.",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "20379",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "14492",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "22976",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD10051",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "013248",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "017989",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
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.