Active NPI
Jeffrey A Bennett
- Pharmacist
- Raleigh, NC
National Provider Identifier
1831481837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10003
- Practice address
- 8101 Fayetteville Rd
Raleigh, NC 27603-5635 - Phone
- (919) 772-0767
- Fax
- (919) 772-9809
- NPI assigned
- May 9, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 10003 | NC | Primary |
Addresses
Primary practice location
8101 Fayetteville Rd
Raleigh, NC 27603-5635
Mailing address
8101 Fayetteville Rd
Raleigh, NC 27603-5635
Phone (919) 772-0767
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10003 | NC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harris Teeter 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Apex, NC
- NPI 1225856859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304899200000",
"number": "1831481837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8101 FAYETTEVILLE RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276035635",
"telephone_number": "919-772-0767",
"fax_number": "919-772-9809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8101 FAYETTEVILLE RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276035635",
"telephone_number": "919-772-0767",
"fax_number": "919-772-9809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "JEFFREY",
"middle_name": "A",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-09",
"last_updated": "2011-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "10003",
"primary": true
}
],
"identifiers": [],
"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 May 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.