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NPI · 1205642592 · NPPES-sourced

Jeffrey Bennett

ActiveCommunity/Retail Pharmacy
NPI Number
1205642592
Type 1 · Individual
Taxonomy Code
3336C0003X
Contact
(209) 464-7722
License CA · PHY59418
Last Updated
Enumerated
Primary practice addressCA · 95205
2005 S Mariposa RdStockton, CA 95205
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Also known as

  • Also known asEl Dorado Drug Store, Dba

Source: NPPES public registry.

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About this NPIWhat this record shows.

NPI 1205642592 is registered to Jeffrey Bennett, a Community/Retail Pharmacy practising at 2005 S Mariposa Rd in Stockton, California. Community/Retail Pharmacy is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Jeffrey Bennett has been enumerated in the National Provider Identifier (NPI) registry since 2024.

Provider type
Individual (Type 1)
Status
Active
Enumerated

Beyond the registryWhat this record adds.

This record carries 2 secondary identifiers beyond the base NPI: Medicaid and other payer cross-references used by billers and credentialers, which the standard CMS NPPES lookup does not surface. Within the directory it is one of 5,752 Community/Retail Pharmacy providers on file in California.

Source: CMS NPPES and PECOS public files. snapshot, refreshed monthly.

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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • PHY59418CA· Issued by CALIFORNIA STATE BOARD OF PHARMACY
  • 0510239· Issued by NATIONAL COUNCIL FOR PRESCRIPTION DRUG PROGRAMS

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Jeffrey Bennett accepts. To confirm in-network status with your specific health plan, contact Jeffrey Bennett directly at (209) 464-7722.

Frequently asked

Yes. NPI 1205642592 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Community/Retail Pharmacy is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (209) 464-7722.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Jeffrey Bennett is a Type-1 individual NPI.

As of the latest monthly CMS NPPES snapshot, 5,752 Community/Retail Pharmacy providers are registered in California, and Jeffrey Bennett is one of them. The figure refreshes each month from the federal source.

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Quick facts

Provider typeIndividual
Taxonomy3336C0003X
Last updated
Enumerated
StatusActive
Partneri
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Same specialtyOther Community/Retail Pharmacy providers in California.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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