Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFFREY RYAN BENNETT
Active Sole ProprietorJEFFREY RYAN BENNETT is a Long-Term Care Pharmacy healthcare provider located in STOCKTON, California. NPI 1205642592 is currently active in the NPPES registry. Verify at CMS.
Long-Term Care Pharmacy · STOCKTON, CA
Registration Details
- NPI Number
- 1205642592
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 10, 2024 (1.6503976894195 yrs)
- Last Updated
- Jul 22, 2025
- License
-
PHY59418 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2005 S MARIPOSA RDSTOCKTON, CA, 95205Browse CA providers · Browse ZIP 95205
- Phone
- 2094647722
- Fax
- 2094643780
- Primary Specialty
-
Long-Term Care Pharmacy
3336C0003X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.