Stephen Dean Bennett, RPH
Individual provider Active NPI Pharmacist · Whitney, TX
NPI 1992399372 · NPPES record last updated Feb 25, 2021
Key facts
- NPI
- 1992399372
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 28162 (TX)
- Practice address
- 203 E Jefferson Ave
Whitney, TX 76692-2302 - Phone
- (254) 694-2249
- Fax
- (254) 694-6495
- NPI assigned
- Feb 25, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28162 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crimson Care Pharmacy Group I., LLC | Current |
Accepting new patients | |
| Crimson Care Pharmacy Group I., LLC | Past |
Accepting new patients |
Locations
203 E Jefferson Ave
Whitney, TX 76692
Phone (254) 694-2249
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28162 | TX | Yes |
Addresses
Primary practice location
203 E Jefferson Ave
Whitney, TX 76692-2302
Mailing address
PO Box 29
Whitney, TX 76692-0029
Phone (254) 205-2253
Other providers in Whitney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.