Individual provider Active NPI

Sadie Mannino Bennett, PHARM.D., RPH

  • Pharmacist
  • Hammond, LA
National Provider Identifier
1659748291
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PST.021097 Issued in LA
Practice address
113 W Charles St
Hammond, LA 70401-3232
Phone
(985) 542-8466
Fax
(985) 542-2561
NPI assigned
Aug 31, 2015
Last updated
Sep 9, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PST.021097 LA Primary

Addresses

Primary practice location

113 W Charles St
Hammond, LA 70401-3232

Mailing address

113 W Charles St
Hammond, LA 70401-3232
Phone (985) 542-8466

Other identifiers 1

IdentifierTypeStateIssuer
2399411MedicaidLA

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, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PST.021097LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Manninos Family Practice Pharmacy Inc PastSince Jun 26, 2022 Accepting new patients
Manninos Family Practice Pharmacy 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441756800000",
    "number": "1659748291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 W CHARLES ST",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704013232",
            "telephone_number": "985-542-8466",
            "fax_number": "985-542-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W CHARLES ST",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704013232",
            "telephone_number": "985-542-8466",
            "fax_number": "985-542-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "SADIE",
        "middle_name": "MANNINO",
        "name_prefix": "Dr.",
        "credential": "PHARM.D., RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-31",
        "last_updated": "2015-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "PST.021097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2399411",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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.