DR. BENNETT JACKSON DOUGHTY (NPI# 1346797818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346797818 |
Entity Type | Individual |
Full Name | DR. BENNETT JACKSON DOUGHTY |
Credential | PHARMD, BCPS, BCPP |
Practice Address |
1 Guthrie Sq Sayre PA 18840 |
Mailing Address |
Po Box 6000 Binghamton NY 13902-6000 |
Practice Telephone | 5708885858 |
Mailing Telephone | 2073139268 |
Enumeration Date | 2016-09-01 |
Last Update Date | 2018-12-24 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 183500000X | Pharmacist | PCT.0013678 | CT | Pharmacy Service Providers |
Y | 1835P1300X |
Pharmacist Specialization: Psychiatric |
RP452472 | PA | Pharmacy Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
950 Campbell Ave, West Haven, CT 065162770 | 2039325711 |
Street Address |
1 GUTHRIE SQ |
City | SAYRE |
State | PA |
Zip Code | 18840 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841294808 | Patricia Ann Fogelman | Nurse Practitioner | 1 Guthrie Sq, Sayre, PA 18840 | 2005-06-08 |
1639778194 | Heather Lynn Walker | Registered Nurse | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2020-10-25 |
1033724380 | Stacy Ann Miller | Nurse Practitioner | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2020-09-14 |
1033727466 | Abigail Rose Link | Physician Assistant | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2020-07-22 |
1811505035 | Rebecca Ann Satterly | Nurse Practitioner | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2020-07-14 |
1417574088 | Patricia Anne Hui | Student in an Organized Health Care Education/Training Program | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2020-06-30 |
1477177277 | Sneha Prabhashankar Singh | Student in an Organized Health Care Education/Training Program | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2020-06-08 |
1346864113 | Shista Priyadarshini | Student in an Organized Health Care Education/Training Program | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2020-06-08 |
1225652175 | Balkishan Jagadishbhai Malviya | Student in an Organized Health Care Education/Training Program | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2020-06-05 |
1003430034 | Premjeet Singh Dhillon | Internal Medicine | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2020-06-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104434497 | Priyanka Bhardwaj | Student in an Organized Health Care Education/Training Program | One Guthrie Square - Family Medicine Residency - Robert, Sayre, PA 18840 | 2020-07-22 |
1669099362 | Tanya Gupta | Student in an Organized Health Care Education/Training Program | 1 Guthrie Square, Guthrie/robert Packer Hospital, Sayre, PA 18840 | 2020-06-29 |
1477170330 | Unknown Manas | Student in an Organized Health Care Education/Training Program | One Guthrie Square, Internal Medicine Residency, Guthri, Sayre, PA 18840 | 2020-06-26 |
1891311601 | Oneeb Sanaullah | Student in an Organized Health Care Education/Training Program | One Guthrie Square, Sayre, Guthrie/robert Packer Hospit, Sayre, PA 18840 | 2020-06-18 |
1801455142 | Rachel Anne Hart | Student in an Organized Health Care Education/Training Program | General Surgery Residency Guthrie/robert Packer Hospita, Sayre, PA 18840 | 2019-06-11 |
1073178315 | Anam Aqeel | Student in an Organized Health Care Education/Training Program | One Guthrie Square Guthrie/robert Packer Hospital, Sayre, PA 18840 | 2019-05-02 |
1548823156 | Seokjae John Bahng | Student in an Organized Health Care Education/Training Program | One Guthrie Square, Guthrie/robert Packer Hospital, Sayre, PA 18840 | 2019-04-18 |
1811550890 | Najma Nawaz | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Guthrie/robert Packer Hospi, Sayre, PA 18840 | 2019-04-16 |
1043701592 | Aisha Khaliq | Internal Medicine | One Guthrie Square Internal Medicine Residency/robert P, Sayre, PA 18840 | 2018-05-21 |
1194220822 | Tianyu Shang | Student in an Organized Health Care Education/Training Program | Guthrie/ Robert Packer Hospital, One Guthrie Square, Sayre, PA 18840 | 2018-03-26 |
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Taxonomy Code | 1835P1300X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Psychiatric |
A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and monitoring patients, recognizing drug-induced problems, and recommending appropriate treatment plans. |
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified title, added definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922261866 | Jessica Nichols | Pharmacist | 3501 Forbes Ave Rm 756, Pittsburgh, PA 15213-3317 | 2008-07-09 |
1700883410 | Dale Robert Grothe | Pharmacist | 14 Marshwood Dr, Collegeville, PA 19426-3857 | 2005-07-07 |
1497752976 | Jay S Jaffess | Pharmacist | Langhorne Newtown Rd, Langhorne, PA 19047-1201 | 2005-06-30 |
1326655812 | Ashley Jill Maister | Pharmacist | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2020-09-28 |
1619453321 | Josh Maline | Pharmacist | 4100 Allequippa St, Pittsburgh, PA 15219 | 2018-07-16 |
1245743681 | Marissa Cullen | Pharmacist | 3811 Ohara St, Pittsburgh, PA 15213-2561 | 2017-11-08 |
1366964413 | Daniel James Greer | Pharmacist | 4100 Allequippa St, Pittsburgh, PA 15213 | 2017-07-11 |
1568875607 | Thersilla Oberbarnscheidt | Pharmacist | 3501 Forbes Ave Ste 900, Pittsburgh, PA 15213 | 2014-06-06 |
1487075453 | Melissa Viola Shiner | Pharmacist | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2013-12-18 |
1447527312 | Jamie Lee Montgomery | Pharmacist | 3501 Forbes Ave, Room 756, Pittsburgh, PA 15213-3317 | 2011-11-21 |
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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.