| NPI | 1093280539 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2018-10-11 |
| Last Updated | 2018-10-11 |
| Authorized Official | Denise Bennett Owner,Pharmacist Phone: 9122863784 |
| Mailing Address | Po Box 864 Blackshear, GA 31516-0864 United States Phone: (912) 286-3784 📍 View Map |
| Primary Practice Address | 3150 Us Highway 84 Blackshear, GA 31516-4944 United States Phone: (912) 449-1400 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | GA | 391060474A | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 333600000X – Pharmacy | — | — |
| No | 3336S0011X – Pharmacy, Specialty Pharmacy | — | — |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | — | — |
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About NPI 1093280539
Bennetts Hometown Pharmacy- Blackshear Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1093280539. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Blackshear, GA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2018-10-11. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1093280539?
NPI 1093280539 belongs to Bennetts Hometown Pharmacy- Blackshear Llc, a Pharmacy, Community/Retail Pharmacy in Blackshear, GA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1093280539 active?
The current status of NPI 1093280539 in the NPPES registry is Active. The record was last updated on 2018-10-11.
What specialty is NPI 1093280539?
NPI 1093280539 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1093280539?
You can verify NPI 1093280539 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1093280539?
The primary practice address on file for NPI 1093280539 is 3150 Us Highway 84, Blackshear, GA 31516-4944. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1093280539 issued?
NPI 1093280539 was first issued (enumerated) on 2018-10-11. The NPPES record was last updated on 2018-10-11.
Practice Location Map
Bennetts Hometown Pharmacy- Blackshear Llc is located at 3150 Us Highway 84, Blackshear, GA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Bennetts Hometown Pharmacy- Blackshear Llc. All records sourced from the CMS NPPES registry.