MRS. STACEY BENNETT (NPI# 1356967962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356967962 |
| Entity Type | Individual |
| Full Name | MRS. STACEY BENNETT |
| Credential | DPH |
| Practice Address |
7760 Trinity Rd Ste 101 Cordova TN 38018-2739 |
| Practice Telephone | 9017379720 |
| Mailing Telephone | 9017379720 |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2020-06-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835N0905X |
Pharmacist Specialization: Nuclear |
8909 | TN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538622527 | Stacey Hicks Bennett | Nurse Practitioner | 587 Middleburg Rd, Decaturville, TN 38329-5673 | 2019-04-08 |
| 1992288062 | Stacey Bennett | Nurse Practitioner | 2494 Bernville Rd Ste 200, Reading, PA 19605-9467 | 2018-09-13 |
| 1497839369 | Stacey S Bennett | Nurse Practitioner | 2100 Erwin Rd, Durham, NC 27710-0001 | 2006-10-25 |
| 1699880955 | Stacey Bennett | Occupational Therapist | 131 Kent Rd, New Milford, CT 06776-3485 | 2006-08-20 |
| 1851317820 | Stacey Ann Bennett | Pharmacist | 350 N Main St, Lawton, MI 49065-9249 | 2006-07-14 |
| Street Address |
7760 TRINITY RD STE 101 |
| City | CORDOVA |
| State | TN |
| Zip Code | 38018-2739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264428 | Shaquia Janai Harris | Behavior Technician | 1079 N Houston Levee Road, Cordova, TN 38018 | 2020-10-29 |
| 1366041493 | Cynthia Brantley | Behavior Technician | 1079 N Houston Levee Rd, Cordova, TN 38018 | 2020-10-20 |
| 1558901736 | At Home Physical Rehabilitation Group, LLC | Physical Therapy Assistant | 856 Willow Tree Circle, Cordova, TN 38018 | 2020-01-15 |
| 1538703038 | Scott Eric Balogh | Psychiatry & Neurology | 65 Germantown Court, Suite 203, Cordova, TN 38018 | 2019-10-29 |
| 1851871305 | Joanna H Fussell | Behavioral Analyst | 8066 Walnut Run Suite 102, Cordova, TN 38018 | 2018-08-15 |
| 1841736097 | A Guardian Care Group | Home Health | 10164 Green Moss, Cordova, TN 38018 | 2017-01-12 |
| 1497127146 | Functional Independence, Inc. | Home Health | 270 German Oak Dr., Memphis, TN 38018 | 2015-10-21 |
| 1679984363 | Tiffany Masters Redfern | Obstetrics & Gynecology | 521 Riveredge Dr W, Cordova, TN 38018 | 2014-05-15 |
| 1295073427 | Mitchell Wyman Alvarez | Optometrist | 2075 N. Germantown Pkwy, Memphis, TN 38018 | 2013-01-23 |
| 1578827531 | Chiung Feng Hsu | Dentist | 831 Timber Creek Dr #1, Cordova, TN 38018 | 2012-06-25 |
| Find all providers in zip 38018 | ||||
| Taxonomy Code | 1835N0905X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Nuclear |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in procurement, compounding, quality control testing, dispensing, distribution, and monitoring of radiopharmaceuticals. |
| 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 |
|---|---|---|---|---|
| 1871811943 | Christopher P Surdock | Pharmacist | 262 Danny Thomas Pl, Mailstop #220, Memphis, TN 38105-3678 | 2010-05-13 |
Please comment or provide details below to improve the information on MRS. STACEY BENNETT.
| 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.