Active NPI
Lynn Williams Bennett, RPH
- Pharmacist
- Gainesville, FL
National Provider Identifier
1700091253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS17042
- Practice address
- 4343 Newberry Road
Suite 9
Gainesville, FL 32607 - Phone
- (352) 224-2450
- Fax
- (352) 224-2451
- NPI assigned
- May 10, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | PS17042 | FL | Primary |
Addresses
Primary practice location
4343 Newberry Road
Suite 9
Gainesville, FL 32607
Mailing address
5105 SW 95TH Ter
Gainesville, FL 32608-4192
Phone (352) 224-2450
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS17042 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simed Health LLC | Past | Accepting new patients |
Organizations & group practices 1
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": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700091253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5105 SW 95TH TER",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326084192",
"telephone_number": "352-224-2450",
"fax_number": "352-224-2451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4343 NEWBERRY ROAD",
"address_2": "SUITE 9",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "32607",
"telephone_number": "352-224-2450",
"fax_number": "352-224-2451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "LYNN",
"middle_name": "WILLIAMS",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS17042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
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.