What is Jeffrey Bennett's NPI number?

Jeffrey Bennett's National Provider Identifier (NPI) is 1205642592, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jeffrey Bennett's specialty?

Jeffrey Bennett is listed in the NPPES registry with a primary specialty of Community/Retail Pharmacy (Suppliers).

Where is Jeffrey Bennett located?

Jeffrey Bennett's practice location on file with NPPES is 2005 S Mariposa Rd, Stockton, CA 95205.

What is Jeffrey Bennett's phone number?

The practice phone number listed in the NPPES registry for Jeffrey Bennett is (209) 464-7722.

Is Jeffrey Bennett's NPI active?

Yes — Jeffrey Bennett's NPI (1205642592) is active in the NPPES registry as of the last update on 2025-07-22.

IndividualActive

Jeffrey Bennett

NPI 1205642592 · Community/Retail Pharmacy · Stockton, CA

Jeffrey Bennett is a Community/Retail Pharmacy provider in Stockton, CA (NPI 1205642592).

Provider details

NPI number: 1205642592
Entity type: Individual
Primary specialty: Community/Retail PharmacySuppliers
Sex: Male
Sole proprietor: Yes
License: PHY59418 (CA)

Specialties & taxonomies

Community/Retail PharmacyPrimary3336C0003XLicense PHY59418 (CA)
Suppliers

Profile Score

Established profile(55/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
1 yr in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

2005 S Mariposa Rd

Stockton, CA 95205

Phone: (209) 464-7722

Fax: (209) 464-3780

Street-level locationGet directions

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Mailing address