Active NPI
Judy Neal Bennett, RPH
- Geriatric Pharmacist
- Raleigh, NC
National Provider Identifier
1740498286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- 11195
- Practice address
- 820 S Boylan Ave
Raleigh, NC 27603-2246 - Phone
- (919) 733-5266
- NPI assigned
- May 18, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | 11195 | NC | Primary |
Addresses
Primary practice location
820 S Boylan Ave
Raleigh, NC 27603-2246
Mailing address
PO Box 422
Knightdale, NC 27545-0422
Phone (919) 266-1725
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11195 | Other | NC | PHARMACY LICENSE # |
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 |
|---|---|---|---|
| 11195 | NC | MD | Geriatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740498286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 422",
"city": "KNIGHTDALE",
"state": "NC",
"postal_code": "275450422",
"telephone_number": "919-266-1725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 S BOYLAN AVE",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276032246",
"telephone_number": "919-733-5266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "JUDY",
"middle_name": "NEAL",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "NC",
"license": "11195",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE #",
"identifier": "11195",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
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.