DR. JUSTIN BENNETT (NPI# 1255794822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255794822 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN BENNETT |
| Credential | PHARMD |
| Practice Address |
120 N 27th St Suite 200 Norfolk NE 68701-3286 |
| Practice Telephone | 4023713444 |
| Practice Fax Number | 4023713566 |
| Mailing Telephone | 4023713444 |
| Mailing Fax Number | 4023713566 |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2016-03-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 20182 | CO | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 1-15582 | KS | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 121145 | MN | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 18489 | NV | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 13748 | NE | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 13366 | SC | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386637155 | Justin M Bennett | Nurse Practitioner | 567 Walker St, Merryville, LA 70653-3040 | 2005-08-26 |
| 1366949364 | Justin M Bennett | Social Worker | 800 Hospital Dr, Columbia, MO 65201-5275 | 2018-04-07 |
| 1275076663 | Justin Bennett | Social Worker | 6104 Avenue Q South Dr, Lubbock, TX 79412-3700 | 2016-12-02 |
| 1396011722 | Justin A Bennett | Family Medicine | 266 Joule St, Alcoa, TN 37701-2422 | 2012-03-29 |
| 1811267271 | Justin Bennett | Emergency Medicine | 270 Park Ave, Huntington, NY 11743-2787 | 2012-01-03 |
| 1558590042 | Justin Bennett | Emergency Medicine | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2009-07-06 |
| 1841458841 | Justin B Bennett | Emergency Medicine | 300 Main St, Lewiston, ME 04240-7027 | 2008-05-27 |
| Street Address |
120 N 27TH ST SUITE 200 |
| City | NORFOLK |
| State | NE |
| Zip Code | 68701-3286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033502950 | Northeast Nebraska Ltc, LLC | Pharmacy | 120 N 27th St, Suite 200, Norfolk, NE 68701-3286 | 2015-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700408465 | Women's Empowering Life Line, Inc. | Substance Abuse Rehabilitation Facility | 200 South 13th St, Norfolk, NE 68701 | 2020-05-15 |
| 1093297103 | Nicole Marie Owens | Physician Assistant | 2701 W. Norfolk Ave, Norfolk, NE 68701 | 2018-09-05 |
| 1326535410 | Healing Hands of Nebraska, PC | Otolaryngology | Sunset Plaza, 1700 Market Lane, Suite 410, Norfolk, NE 68701 | 2018-04-16 |
| 1356864995 | Nmg LLC | Family Medicine | 301 North 27th Street Suite 1, Norfolk, NE 68701 | 2017-07-25 |
| 1609396423 | Alison Erin Pfeifer | Physical Therapy Assistant | 1220 W Benjamin Ave #4, Norfolk, NE 68701 | 2017-06-22 |
| 1568996148 | Xanat Naranjo | Registered Nurse | 105 E. Norfolk Ave, Norfolk, NE 68701 | 2017-04-20 |
| 1194259945 | Angela Cornett | Licensed Practical Nurse | 105 E. Norfolk, Norfolk, NE 68701 | 2017-04-19 |
| 1669906400 | Melodie Ann Nielsen | Registered Nurse | 105 East Norfolk Ave, Norfolk, NE 68701 | 2017-04-19 |
| 1528519543 | Women's Empowering Life Line | Substance Abuse Rehabilitation Facility | 910 West Park Avenue, Norfolk, NE 68701 | 2016-10-14 |
| 1174983100 | Brooke Cemper | Nurse Practitioner | 2701 West Norfolk Ave, Norfolk, NE 68701 | 2016-03-03 |
| Find all providers in zip 68701 | ||||
| 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 |
|---|---|---|---|---|
| 1366040016 | Andrew Van Slyke | Pharmacist | 7550 Granby St, Norfolk, VA 23505-3443 | 2020-10-14 |
| 1073149688 | Anton Anderson | Pharmacist | 1301 W Norfolk Ave, Norfolk, NE 68701-4833 | 2020-03-14 |
| 1932758976 | Jennifer Riveros | Pharmacist | 400 Gresham Dr Ste 104, Norfolk, VA 23507-1901 | 2019-09-11 |
| 1205313343 | Emily C Beasley | Pharmacist | 201 W 21st St Apt 322, Norfolk, VA 23517-2371 | 2018-07-22 |
| 1881188159 | Patrick Michael Haar | Pharmacist | 601 Pembroke Avenue, Apt 104, Norfolk, VA 23507 | 2018-06-19 |
| 1851892533 | Chad Maas | Pharmacist | 1718 Troon St, Norfolk, NE 68701-3389 | 2018-02-27 |
| 1518491299 | Iffat Sanderlin | Pharmacist | 5478 Greenplain Rd Apt 107, Norfolk, VA 23502-2363 | 2017-04-19 |
| 1669914586 | Laiken Anderson | Pharmacist | 5033 Pleasant Ave, Norfolk, VA 23518-2015 | 2016-11-09 |
| 1144776725 | Amr Hassan | Pharmacist | 1610 W Little Creek Rd, Apt 204, Norfolk, VA 23505 | 2016-09-01 |
| 1134673296 | Naved Rahim | Pharmacist | 6101 N Military Hwy, Norfolk, VA 23518-5434 | 2016-08-06 |
| Find all providers in NORFOLK | ||||
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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.