MR. WILLIAM LUTHER BENNETT (NPI# 1104272954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104272954 |
| Entity Type | Individual |
| Full Name | MR. WILLIAM LUTHER BENNETT |
| Credential | RPH |
| Practice Address |
1131 Sunnyoak Way Stockton CA 95209 |
| Mailing Address |
P.o. Box 690486 Stockton CA 95269-0486 |
| Practice Telephone | 2099551966 |
| Mailing Telephone | 2099551966 |
| Mailing Fax Number | 2094875349 |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2016-05-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 28245 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265811343 | William Bennett | Physician Assistant | 474 W Lake Dr, Brick, NJ 08724-1571 | 2015-05-22 |
| 1902223431 | William Bennett | General Practice | 319 Saxony Ct, Lexington, SC 29072-7957 | 2014-03-21 |
| 1407906654 | William A Bennett | Podiatrist | 2085 Inland Dr, Suite B, North Bend, OR 97459-1203 | 2007-01-11 |
| 1972663300 | William Bennett | Family Medicine | 325 Kennedy Memorial Dr # C, Waterville, ME 04901-4517 | 2006-12-08 |
| 1811909427 | William P Bennett | Dentist | 324 Center Ave, Weston, WV 26452-2031 | 2006-08-12 |
| 1124038823 | William H. Bennett | Optometrist | 417 W Market St, Orrville, OH 44667-1822 | 2006-08-08 |
| 1598714834 | William E Bennett | Specialist | 415 Devonia St, Suite 301, Harriman, TN 37748-2025 | 2006-05-06 |
| 1528041365 | William Thomas Bennett | Emergency Medicine | 1 Compass Way Ste 102, East Bridgewater, MA 02333-1464 | 2005-11-25 |
| 1073519047 | William Michael Bennett | Podiatrist | 13935 Plumbrook Road, Sterling Heights, MI 48312 | 2005-06-24 |
| 1750386504 | William J. Bennett IIi | Dentist | 10719 W 159th St, Orland Park, IL 60467-4531 | 2005-06-17 |
| Street Address |
1131 SUNNYOAK WAY |
| City | STOCKTON |
| State | CA |
| Zip Code | 95209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548686769 | Roland Rillamas Lagpacan | Pharmacist | 3131 West Hammer Lane, Stockton, CA 95209 | 2014-03-12 |
| 1346599677 | Luis Leyva Garcia | Marriage & Family Therapist | 1755 West Hammer Lane, Stockton, CA 95209 | 2012-08-31 |
| 1942506233 | Donna Lynn Peterson | Dentist | 9409 Thornton Rd, Stockton, CA 95209 | 2011-02-03 |
| 1386969798 | Miusotic Zaragoza | Social Worker | 1755 W. Hammer Lane Suite 8, Latino Behavioral Health, Stockton, CA 95209 | 2010-03-30 |
| 1497988844 | Marissa Elizabeth Preciado | Counselor | 10147 River Falls Cir, Stockton, CA 95209 | 2009-09-02 |
| 1316190796 | Sutter Gould Medical Foundation | Clinic/Center | 8011 Don Ave, Stockton, CA 95209 | 2008-10-29 |
| 1881845790 | Gary Earl Fiscus | Dentist | 4565 Quail Lakes Drive, Suite A-2, Stockton, CA 95209 | 2008-10-09 |
| 1326225665 | Shirley's Care Home Inc | Intermediate Care Facility, Mentally Retarded | 2330 Shropshire Dr, Stockton, CA 95209 | 2008-01-29 |
| 1134272727 | Joanie Mc Culloch | Homeopath | 8807 Thornton Rd, Ste. P, Stockton, CA 95209 | 2007-01-19 |
| 1467412809 | Jill Michelle Henderzahs-mason | Physical Therapist | 1716 W Hammer Lane, Stockton, CA 95209 | 2006-03-27 |
| Find all providers in zip 95209 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295341766 | Sarah Trinh | Pharmacist | 1801 E March Ln Ste B280, Stockton, CA 95210-6653 | 2020-09-21 |
| 1629680566 | Karla Marina Aguirre Luna | Pharmacist | 3047 Battleview Pl, Stockton, CA 95209-1623 | 2020-08-21 |
| 1457973372 | David Le | Pharmacist | 9141 Sentinel Ct, Stockton, CA 95212-3211 | 2020-05-13 |
| 1194346163 | Nhon Tran | Pharmacist | 7232 Kelley Dr, Stockton, CA 95207-1117 | 2020-04-30 |
| 1316573249 | May Chen | Pharmacist | 757 Brookside Rd Phs 229, Stockton, CA 95211-0001 | 2020-03-23 |
| 1336787001 | Albert Diep | Pharmacist | 1832 Del Rio Dr, Stockton, CA 95204-1718 | 2019-12-12 |
| 1518464692 | Szarisse Fernandez | Pharmacist | 2040 E. Mariposa Rd., Stockton, CA 95205 | 2018-04-06 |
| 1609239177 | Michael Tennant | Pharmacist | 10560 Lake Point Ave, Stockton, CA 95219-7274 | 2016-04-01 |
| 1811352305 | Samra Liaqat | Pharmacist | 2364 Golden Bear Cir, Stockton, CA 95209-1765 | 2015-12-28 |
| 1871958702 | Roy Rocero Jr. | Pharmacist | 2613 Fleury Way, Stockton, CA 95210-3238 | 2015-12-18 |
| Find all providers in STOCKTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.