Jeffrey Ryan Bennett
NPI 1417052937 · Community/Retail Pharmacy · Stockton, CA
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jeffrey Ryan Bennett is a Community/Retail Pharmacy organization in Stockton, CA (NPI 1417052937).
Provider details
- NPI number
- 1417052937
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Jeffrey Bennett, Owner(209) 464-7722
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
27 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Administration of Influenza Virus VaccineG0008 | 27 | $33 |
Typical Medicare-allowed amounts for these services range $33–$33 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- El Dorado Drug Store
- Doing business as
- El Dorado Drug Store
Registry dates
- Enumerated
- 2006-09-13
- Last updated
- 2025-09-16
- Certified
- 2025-09-16
Frequently asked questions
- What is Jeffrey Ryan Bennett's NPI number?
- Jeffrey Ryan Bennett's National Provider Identifier (NPI) is 1417052937, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jeffrey Ryan Bennett?
- Jeffrey Ryan Bennett is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Jeffrey Ryan Bennett located?
- Jeffrey Ryan Bennett's practice location on file with NPPES is 2005 S Mariposa Rd, Stockton, CA 95205-7735.
- What is Jeffrey Ryan Bennett's phone number?
- The practice phone number listed in the NPPES registry for Jeffrey Ryan Bennett is (209) 464-7722.
- Does Jeffrey Ryan Bennett accept Medicare?
- Jeffrey Ryan Bennett is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jeffrey Ryan Bennett?
- The authorized official listed on Jeffrey Ryan Bennett's NPPES record is Jeffrey Bennett, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jeffrey Ryan Bennett's NPI active?
- Yes — Jeffrey Ryan Bennett's NPI (1417052937) is active in the NPPES registry as of the last update on 2025-09-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.