MRS. SONJA LEE BENNETT (NPI# 1265721369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265721369 |
Entity Type | Individual |
Full Name | MRS. SONJA LEE BENNETT |
Credential | RPH |
Practice Address |
715 W 4th St Adel GA 31620-2657 |
Mailing Address |
715 West 4th Street Adel GA 31620 |
Practice Telephone | 2298962300 |
Practice Fax Number | 2298961350 |
Mailing Telephone | 2298962300 |
Mailing Fax Number | 2298961350 |
Enumeration Date | 2011-03-30 |
Last Update Date | 2011-03-30 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 15113 | GA | Pharmacy Service Providers |
Street Address |
715 W 4TH ST |
City | ADEL |
State | GA |
Zip Code | 31620-2657 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447890330 | Tibebu Bekele Nigatu | Pharmacist | 715 W 4th St, Adel, GA 31620-2657 | 2020-01-08 |
1053964692 | Katherine Key Brogdon | Pharmacist | 715 W 4th St, Adel, GA 31620-2657 | 2019-07-23 |
1821509035 | Misty Cox | Pharmacist | 715 W 4th St, Adel, GA 31620-2657 | 2017-10-14 |
1003330655 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 715 W 4th St, Adel, GA 31620-2657 | 2017-07-26 |
1821468703 | Harry Metropol | Pharmacist | 715 W 4th St, Adel, GA 31620-2657 | 2015-10-05 |
1407287113 | Kimberly Thompson | Pharmacist | 715 W 4th St, Adel, GA 31620-2657 | 2013-12-05 |
1083043897 | Deslyn Adams | Pharmacist | 715 W 4th St, Adel, GA 31620-2657 | 2013-11-02 |
1124374681 | Daniel Blake Purvis | Pharmacist | 715 W 4th St, Adel, GA 31620-2657 | 2012-08-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588024970 | Wal-mart Store East, Lp | Technician/Technologist | 351 Alabama Road, Adel, GA 31620 | 2016-02-29 |
1144699141 | Alexander Warren | Nurse Practitioner | 110 S Hutchinson Ave, Adel, GA 31620 | 2015-09-20 |
1538474002 | Tift Regional Health System, Inc. | Specialist | 103 East James Street, Adel, GA 31620 | 2010-08-09 |
1427388578 | Newhaven | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 615 South Hutchinson Avenue, Adel, GA 31620 | 2010-01-12 |
1942374350 | South Georgia Csb | Clinic/Center | 203 Industrial Park Drive, Adel, GA 31620 | 2006-11-17 |
1457424616 | Cook County Board of Education | Local Education Agency (LEA) | 1109 N Parrish Ave, Adel, GA 31620 | 2006-11-16 |
1366513210 | Thomas D Fausett Jr. | Family Medicine | 707 N Parrish Ave, Adel, GA 31620 | 2006-11-13 |
1689765851 | Chris T. Hilliard | Dentist | 130 S. Parrish Ave., Adel, GA 31620 | 2006-09-27 |
1245247303 | Mark A Clegg | Dentist | 606 N Hutchinson Ave, Adel, GA 31620 | 2006-08-02 |
1336102938 | Dca of Adel LLC | Clinic/Center | 701 North Hutchinson Avenue, Adel, GA 31620 | 2006-04-07 |
Find all providers in zip 31620 |
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 |
---|---|---|---|---|
1316219447 | Leslie Herron | Pharmacist | 628 Nile Kinnick Dr S Ste 1, Adel, IA 50003 | 2012-02-06 |
1295739837 | Jason Anthony Warren | Pharmacist | 800 N Parrish Ave, Adel, GA 31620-1560 | 2005-06-10 |
1033719711 | Sala Pressley | Pharmacist | 351 Alabama Rd, Adel, GA 31620-3818 | 2020-10-30 |
1447890330 | Tibebu Bekele Nigatu | Pharmacist | 715 W 4th St, Adel, GA 31620-2657 | 2020-01-08 |
1053964692 | Katherine Key Brogdon | Pharmacist | 715 W 4th St, Adel, GA 31620-2657 | 2019-07-23 |
1346711249 | Buie Jeffery Rowan | Pharmacist | 800 N Parrish Ave, Adel, GA 31620-1560 | 2018-12-17 |
1821509035 | Misty Cox | Pharmacist | 715 W 4th St, Adel, GA 31620-2657 | 2017-10-14 |
1821468703 | Harry Metropol | Pharmacist | 715 W 4th St, Adel, GA 31620-2657 | 2015-10-05 |
1407287113 | Kimberly Thompson | Pharmacist | 715 W 4th St, Adel, GA 31620-2657 | 2013-12-05 |
1083043897 | Deslyn Adams | Pharmacist | 715 W 4th St, Adel, GA 31620-2657 | 2013-11-02 |
Find all providers in ADEL |
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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.