Amanda D. Bennett, PHARM D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP0006886 Issued in WV

Practice address

204 S Crim Ave
Belington, WV 26250-9662

Phone

(304) 823-1001

NPI assigned

Feb 4, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Mace'S Pharmacy, Inc.

  • Long Term Care Pharmacy
  • Belington, WV
  • NPI 1700600541
  NPD
• Maces Pharmacy Inc

  • Community/Retail Pharmacy
  • Belington, WV
  • NPI 1770841637
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1639418114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 S MAIN ST",
            "city": "PHILIPPI",
            "state": "WV",
            "postal_code": "264160015",
            "telephone_number": "304-457-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 S CRIM AVE",
            "city": "BELINGTON",
            "state": "WV",
            "postal_code": "262509662",
            "telephone_number": "304-823-1001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "440 S Main St",
            "address_purpose": "LOCATION",
            "city": "Philippi",
            "state": "WV",
            "postal_code": "264160015",
            "country_code": "US",
            "telephone_number": "304-457-4233",
            "fax_number": "304-457-6760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "AMANDA",
        "middle_name": "D.",
        "credential": "PHARM D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-04",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0006886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV BOARD OF PHARMACY",
            "identifier": "RP0006886",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Betty Bender
• Brenda Bender
• Haley Bender
• Kendra Bender
• Tod Benishek
• Angela E Bennett
• Brooklin Bennett
• Cathy Bennett
• Daisie Bennett
• Donna Bennett

• Pharmacist in Belington, WV
• Providers in Belington, WV by specialty
• Pharmacist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.