DR. MICHAEL BENNETT (NPI# 1881010692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881010692 |
Entity Type | Individual |
Full Name | DR. MICHAEL BENNETT |
Credential | PHARM.D. |
Practice Address |
31735 Riverside Dr C-330 Lake Elsinore CA 92530-7816 |
Practice Telephone | 7607167994 |
Mailing Telephone | 7607167994 |
Enumeration Date | 2014-03-17 |
Last Update Date | 2014-03-17 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RPH 40436 | CA | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295370336 | Michael Bennett | Peer Specialist | 10624 S Choctaw Rd, Newalla, OK 74857-9315 | 2019-11-13 |
1316428006 | Michael Kenneth Bennett | Nutritionist | 1358 Leegate Rd Nw, Washington, DC 20012-1301 | 2018-08-22 |
1558780288 | Michael Bennett | Physical Therapy Assistant | 4235 Burlington Ave N, St Petersburg, FL 33713-8227 | 2014-04-09 |
1235304197 | Michael W Bennett | Dental Hygienist | 115 Willow Circle Dr, Loveland, CO 80537-7667 | 2008-04-22 |
1346458635 | Michael Jay Bennett | Psychiatry & Neurology | 11 Dunbarton Rd, Belmont, MA 02478-2458 | 2007-05-18 |
1629128616 | Michael J. Bennett | Physical Therapist | 1516 9th Ave, Altoona, PA 16602-2417 | 2007-01-11 |
1558454553 | Michael J Bennett | Optometrist | 9309 Glacier Hwy Ste A103, Juneau, AK 99801-9300 | 2006-10-02 |
1497780951 | Michael L Bennett | Chiropractor | 375 Ne 10th Ave, Crystal River, FL 34429 | 2006-07-12 |
1326073420 | Michael I Bennett | Psychiatry & Neurology | 241 Perkins St Unit B801, Jamaica Plain, MA 02130-4072 | 2006-07-11 |
1265474266 | Michael K Bennett | Family Medicine | 123 Wetzel St, Greenfield, MO 65661-1505 | 2006-06-12 |
Street Address |
31735 RIVERSIDE DR C-330 |
City | LAKE ELSINORE |
State | CA |
Zip Code | 92530-7816 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841801479 | Mercedes Samantha Hamilton | Licensed Psychiatric Technician | 18465 Grand Ave, Lake Elsinore, CA 92530 | 2020-08-17 |
1700423779 | Karrene Louise Stanard | Peer Specialist | 31764 Casino Drive, Suite 300, Lake Elsinore, CA 92530 | 2019-12-09 |
1972149961 | Danielle Cravalho | Student in an Organized Health Care Education/Training Program | 31964 Mission Trail, Suite B, Lake Elsinore, CA 92530 | 2019-11-25 |
1952825648 | R.e. Levi Dental Corporation | Dentist | 32235 Mission Trail # 8, Lake Elsinore, CA 92530 | 2017-08-03 |
1144760729 | Alfred Metwashla | Pharmacist | 18269 Collier Ave, Lake Elsinore, CA 92530 | 2017-03-02 |
1750788733 | Roxanne Martinez | Case Manager/Care Coordinator | 31764 Casino Drive, Lake Elsinore, CA 92530 | 2014-11-19 |
1871870907 | Bryan Tuan Tran | Pharmacist | 160 Diamond Drive, Lake Elsinore, CA 92530 | 2011-11-03 |
1043590821 | Katherynn Elizabeth Williams | Marriage & Family Therapist | 600 Central Ave Ste 201, Lake Elsinore, CA 92530 | 2011-08-24 |
1861771677 | Judy Kelly | Marriage & Family Therapist | 224 West Graham Ave, Lake Elsinore, CA 92530 | 2011-08-10 |
1427343813 | Patrick Chern | Pharmacist | 18287 Collier Ave., Lake Elsinore, CA 92530 | 2011-06-14 |
Find all providers in zip 92530 |
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 |
---|---|---|---|---|
1376142430 | Daria Mohazzab Hosseinian | Pharmacist | 450 E Spring St Ste 11, Long Beach, CA 90806-1625 | 2020-10-20 |
1235745100 | Ngoc Tran | Pharmacist | 10371 Luders Ave, Garden Grove, CA 92843-3213 | 2020-09-16 |
1275143752 | Sherine Ann Legge | Pharmacist | 17 Westchester Ct, Trabuco Canyon, CA 92679-4955 | 2020-08-09 |
1922618412 | Ashley Keane Hayes | Pharmacist | 6551 E El Pulcro St, Long Beach, CA 90815-2302 | 2020-08-09 |
1750991543 | Priyankumar Arvind Patel | Pharmacist | 2339 S G St, Fresno, CA 93721-3425 | 2020-08-05 |
1912521261 | Sharon Jung | Pharmacist | 851 Langholm Way, Riverside, CA 92508-6075 | 2020-06-02 |
1710500376 | Christine Nguyen | Pharmacist | 2248 E Nyon Ave, Anaheim, CA 92806-4634 | 2020-05-18 |
1134740582 | Cj3m Corporation | Pharmacist | 2626 El Camino Real Ste A, Carlsbad, CA 92008-1253 | 2020-04-27 |
1629607775 | Tiffany Chang | Pharmacist | 213 Quarry Rd Rm 2726a, Palo Alto, CA 94304-1416 | 2020-04-01 |
1124655782 | Noor Mikhail | Pharmacist | 220 W Main St Ste 102, El Cajon, CA 92020-3462 | 2020-03-24 |
Find all providers with the same taxonomy |
City | LAKE ELSINORE |
Zip Code | 92530 |
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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.