DR. JOHNNY BENNETT JR. (NPI# 1366041253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366041253 |
| Entity Type | Individual |
| Full Name | DR. JOHNNY BENNETT JR. |
| Credential | PHARMD |
| Practice Address |
2175 Parklake Dr Ne Atlanta GA 30345-2845 |
| Practice Telephone | 7705987638 |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RPH022432 | GA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992293583 | Johnny Bennett | Counselor | 1910 Fairgrove Ave Ste E, Hamilton, OH 45011-1930 | 2018-04-29 |
| Street Address |
2175 PARKLAKE DR NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30345-2845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972649606 | Sarah Dye Gallant | Pharmacist | 2175 Parklake Dr Ne, Atlanta, GA 30345-2809 | 2007-01-29 |
| 1407455447 | Jeffrey Aaron Jones | Pharmacist | 2175 Parklake Dr Ne, Atlanta, GA 30345-2845 | 2020-10-21 |
| 1043819964 | Julia Conforti | Pharmacist | 2175 Parklake Dr Ne, Atlanta, GA 30345-2845 | 2020-10-21 |
| 1346849288 | Melissa Witt | Pharmacist | 2175 Parklake Dr Ne, Atlanta, GA 30345-2845 | 2020-10-21 |
| 1043819105 | Tamar Kenyata Rawls | Pharmacist | 2175 Parklake Dr Ne, Atlanta, GA 30345-2845 | 2020-10-20 |
| 1598364580 | Ernest Okechukwu. Ndubuizu | Pharmacist | 2175 Parklake Dr Ne, Atlanta, GA 30345-2845 | 2020-10-20 |
| 1487253472 | Tenzin J Rikha | Pharmacist | 2175 Parklake Dr Ne, Atlanta, GA 30345-2845 | 2020-10-20 |
| 1609475763 | Kimberly Ball | Pharmacist | 2175 Parklake Dr Ne, Atlanta, GA 30345-2845 | 2020-10-20 |
| 1306445697 | Sang Kim | Pharmacist | 2175 Parklake Dr Ne, Atlanta, GA 30345-2845 | 2020-10-19 |
| 1497353072 | Timothty Carroll | Pharmacist | 2175 Parklake Dr Ne, Atlanta, GA 30345-2845 | 2020-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306358726 | Marian Barton Kalvert | Counselor | 2300 Henderson Mill Rd Ne Ste 310, Atlanta, GA 30345 | 2017-10-25 |
| 1417478439 | Reexist Counseling LLC | Clinic/Center | 1955 Vance Drive Ne, Atlanta, GA 30345 | 2017-06-29 |
| 1366862930 | Creative Behavior Consulting | Counselor | 6212 Northlake Circle Ne, Atlanta, GA 30345 | 2014-04-22 |
| 1215375209 | Shakeia Cowan | Counselor | 2302 Parklake Drive, Suite 350, Atlanta, GA 30345 | 2013-06-12 |
| 1154673259 | Phyllis Carrera | Counselor | 1788-b Century Blvd, Atlanta, GA 30345 | 2012-10-12 |
| 1417216128 | Procare Pharmacy, LLC | Pharmacy | 2700 Northeast Expy Ne, Suite B-800, Atlanta, GA 30345 | 2012-05-15 |
| 1962794479 | Nicole Renee Buttery | Behavioral Analyst | 1776 Century Blvd Ne Ste A, Atlanta, GA 30345 | 2011-05-03 |
| 1972839371 | Barbara Lopes Cardozo | Psychiatry & Neurology | 2500 Century Blvd, Mailstop V 25-1, Atlanta, GA 30345 | 2009-10-20 |
| 1568615193 | Zouheir A Shama Sr. | Surgery | 2536 Cosmos Drive N.e., Atlanta, GA 30345 | 2008-10-28 |
| 1396930558 | Munir Kashlan | Dentist | 4800 Briarcliff Rd, Ste 2037 American Dental Group Dba Great Expressions, Atlanta, GA 30345 | 2007-09-11 |
| Find all providers in zip 30345 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346871795 | Marcus Javon Cuffie | Pharmacist | 3559 Chamblee Tucker Rd, Atlanta, GA 30341-4409 | 2020-02-03 |
| 1417587775 | Ngoc Nhi T Che | Pharmacist | 725 Ponce De Leon Ave Ne Ste 100, Atlanta, GA 30306-4300 | 2020-01-24 |
| 1609406461 | Esete Getachew-smith | Pharmacist | 725 Ponce De Leon Ave Ne # 100, Atlanta, GA 30306-4300 | 2020-01-21 |
| 1245870468 | Chinyere Muoka | Pharmacist | 589 Cascade Ave Sw, Atlanta, GA 30310-2407 | 2020-01-15 |
| 1265900419 | Katharine Renee Shaw | Pharmacist | 2232 Addison Pl Nw, Atlanta, GA 30318-3522 | 2018-11-06 |
| 1356828313 | Shin Lee Ly | Pharmacist | 608 Ralph Mcgill Blvd Ne Unit 533, Atlanta, GA 30312-1537 | 2018-07-23 |
| 1326559477 | Shirin Faridian Zadeh | Pharmacist | 560 Tahoma Dr, Atlanta, GA 30350-4000 | 2017-10-17 |
| 1053728279 | Katherine Pleasants | Pharmacist | 701 Highland Ave Ne Apt 2207, Atlanta, GA 30312-1488 | 2014-07-21 |
| 1710268867 | Suzanne Patricia Booth | Pharmacist | 3495 Piedmont Rd. Ne, Bulding 9 Clinical Affairs, Atlanta, GA 30305-1736 | 2011-09-02 |
| 1407136252 | Christine Elizabeth Lord | Pharmacist | 3495 Piedmont Road, Ne, Atlanta, GA 30305-1736 | 2011-08-25 |
| Find all providers in ATLANTA | ||||
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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.