Individual provider Active NPI

Jana Lynne Bennett, RPH

  • Pharmacist
  • Sherman, TX
National Provider Identifier
1679169031
Registry record updated Dec 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
34436 Issued in TX
Practice address
1624 N Travis St
Sherman, TX 75092-3762
Phone
(903) 892-9291
Fax
(903) 893-1019
NPI assigned
Dec 18, 2020
Sex
Female
Sole proprietor
Yes

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
34436TXMDClinical Psychologist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 34436 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

1624 N Travis St
Sherman, TX 75092-3762

Mailing address

1624 N Travis St
Sherman, TX 75092-3762
Phone (903) 892-9291

Other names 1

NPPES NPI Registry
  • Joanna Lynne Bennett Professional name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 18, 2020.

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1679169031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 N TRAVIS ST",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750923762",
            "telephone_number": "903-892-9291",
            "fax_number": "903-893-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 N TRAVIS ST",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750923762",
            "telephone_number": "903-892-9291",
            "fax_number": "903-893-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "JANA",
        "middle_name": "LYNNE",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-18",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "34436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNA",
            "last_name": "BENNETT",
            "middle_name": "LYNNE",
            "credential": "RPH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sherman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.