DR. MARK ANDREW BENNETT (NPI# 1518403724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518403724 |
| Entity Type | Individual |
| Full Name | DR. MARK ANDREW BENNETT |
| Credential | PHARMD |
| Practice Address |
1200 S Commerce Way Brigham City UT 84302-3117 |
| Practice Telephone | 4357349784 |
| Mailing Telephone | 4357349784 |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2017-01-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 8658054-8911 | UT | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 8658054-1701 | UT | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871912287 | Mark Bennett | Counselor | 829 27th St, San Diego, CA 92102-2710 | 2014-04-14 |
| 1811104771 | Mark Andrew Bennett | Chiropractor | Valley Plaza Rt. 7, Suite 4, Reedsville, WV 26547 | 2007-05-17 |
| 1528168952 | Mark David Bennett | Pharmacist | 206 North Charlotte Street, Pottstown, PA 19464 | 2006-09-25 |
| 1861467599 | Mark Daniel Bennett | Optometrist | 1839 Briargate Blvd, Colorado Springs, CO 80920-3470 | 2006-02-17 |
| 1255327623 | Mark Thomas Bennett | Chiropractor | 5031 E Orangethorpe Ave, Suite H, Anaheim, CA 92807-1131 | 2005-09-21 |
| 1073031340 | Mark Allen Bennett | Counselor | 166 Broadway, Bangor, ME 04401-5208 | 2017-09-06 |
| 1871955435 | Mark Richard Bennett Jr. | Nurse Anesthetist, Certified Registered | 709 W Main St, Manchester, IA 52057-1526 | 2016-03-23 |
| 1245609817 | Mark Bennett | Nursing Care | 2766 W 11 Mile Rd Ste 2, Berkley, MI 48072-3033 | 2015-09-24 |
| 1306273784 | Mark Barry Bennett | Social Worker | 2275 W Broadway St, Ste G, Idaho Falls, ID 83402-2902 | 2013-10-01 |
| 1871859223 | Mark Kenneth Bennett | Physician Assistant | 4403 Harrison Blvd, Suite 1815, Ogden, UT 84403-3339 | 2012-04-10 |
| Street Address |
1200 S COMMERCE WAY |
| City | BRIGHAM CITY |
| State | UT |
| Zip Code | 84302-3117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669945531 | Brandon Lee Allen | Counselor | 971 South 800 West, #104, Brigham City, UT 84302 | 2019-01-03 |
| 1104307495 | Tiffany Burnhope | Social Worker | 663 Parker Lane, Brigham City, UT 84302 | 2018-08-24 |
| 1558858464 | Michael Clark | Optometrist | 990 Medical Dr Ste G3, Brigham City, UT 84302 | 2018-04-16 |
| 1497273130 | Emily Marler | Counselor | 862 South Main Suite 4, Brigham City, UT 84302 | 2017-09-01 |
| 1003268731 | Tyler Beckstrand | Social Worker | 125 N Main Street, Brigham City, UT 84302 | 2016-07-06 |
| 1780030155 | Angela Stott | Case Manager/Care Coordinator | 160 E 800 S Apt. B216, Brigham City, UT 84302 | 2016-05-04 |
| 1699156802 | Christopher Jacobson | Family Medicine | 1050 Medical Dr, Brigham City, UT 84302 | 2015-06-12 |
| 1811377765 | Courtney Allred | Counselor | 863 S Main Street Suite 2, Brigham, UT 84302 | 2015-06-05 |
| 1235529579 | Belinda Castro | Counselor | 862 S Main Street Suite 2, Brigham City, UT 84302 | 2015-01-26 |
| 1760871818 | Ambryn Mccallson | Counselor | 862 S. Main, 4, Brigham City, UT 84302 | 2015-01-13 |
| Find all providers in zip 84302 | ||||
| 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 |
|---|---|---|---|---|
| 1962835157 | Rebecca Petersen | Pharmacist | 770 S 400 E Apt 50, Brigham City, UT 84302-3351 | 2013-08-12 |
| 1104467687 | Richard Lynn Crowther | Pharmacist | 156 S Main St, Brigham City, UT 84302-2529 | 2019-10-04 |
| 1326689498 | Marc Weston Andersen | Pharmacist | 156 S Main St, Brigham City, UT 84302-2529 | 2019-09-30 |
| 1760023832 | Amy Heyder | Pharmacist | 156 S Main St, Brigham City, UT 84302-2529 | 2019-09-30 |
| 1184275356 | Sean Lyman | Pharmacist | 156 S Main St, Brigham City, UT 84302-2529 | 2019-09-27 |
| 1326699513 | Dee Syndergaard Lunday | Pharmacist | 156 S Main St, Brigham City, UT 84302-2529 | 2019-09-27 |
| 1114083250 | G Scott Coleman | Pharmacist | 1017 Medical Dr, Brigham City, UT 84302-3049 | 2006-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952459 | Deanna Rae Moultrie | Pharmacist | 1268 N 225 W, Centerville, UT 84014-1104 | 2020-11-05 |
| 1659972248 | William Lance Andersen | Pharmacist | 1202 W 12600 W, Riverton, UT 84065 | 2020-11-02 |
| 1487255907 | Todd Shakespeare | Pharmacist | 1330 S Providence, Cedar City, UT 84720 | 2020-11-02 |
| 1245830108 | Chadwick M Smith | Pharmacist | 7494 S 2135 E, Salt Lake City, UT 84121-4970 | 2020-10-29 |
| 1356940209 | Melody Mercedes Padilla | Pharmacist | 325 S Orchard Dr Apt C106, North Salt Lake, UT 84054-1861 | 2020-10-21 |
| 1457965824 | Duy Danny Vo | Pharmacist | 7200 S State St, Midvale, UT 84047 | 2020-09-03 |
| 1568075463 | Brent West | Pharmacist | 19 W Clover Ln, Washington, UT 84780-8208 | 2020-08-28 |
| 1568074318 | Kelli Thorup | Pharmacist | 458 E Emerson Ave, Salt Lake City, UT 84115-1531 | 2020-08-21 |
| 1861003865 | Devin S Jackson | Pharmacist | 1311 E Draper Pkwy, Draper, UT 84020-8567 | 2020-08-12 |
| 1376154435 | James Lindsay Clark | Pharmacist | 201 S 1300 E Ste 101, Salt Lake City, UT 84102-2608 | 2020-08-12 |
| Find all providers with the same taxonomy | ||||
| City | BRIGHAM CITY |
| Zip Code | 84302 |
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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.