Jeffrey Ryan Bennett
Community/Retail Pharmacy
2005 S Mariposa Rd, Stockton
California, 95205-7735
209-464-7722 209-464-7404
Jeffrey Ryan Bennett is a Community/Retail Pharmacy in Stockton, California. It is located at 2005 S Mariposa Rd, Stockton and it's customer support contact number is 209-464-7722. The authorized person of Jeffrey Ryan Bennett is Jeffrey Bennett who is Owner of the pharmacy and his contact number is 209-464-7722. Jeffrey Ryan Bennett accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Jeffrey Ryan Bennett is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Jeffrey Ryan Bennett type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Jeffrey Ryan Bennett |
| Type: | Community/Retail Pharmacy |
| Location: | 2005 S Mariposa Rd, Stockton,
California, 95205-7735 |
| Phone: | 209-464-7722 |
| Fax: | 209-464-7404 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Jeffrey Bennett |
| Position: | Owner |
| Contact Number: | 209-464-7722 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1417052937 |
| NPI Enumeration Date: | 13 Sep, 2006 |
| NPI Last Update On: | 16 Sep, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jeffrey Ryan Bennett are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0510239 | Other | | Ncpdp |
| 1205642592 | Medicaid | California | |
| PHY59418 | Other | California | California State Board Of Pharmacy |
Medicare Enrollment:
Jeffrey Ryan Bennett is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 4789897331 | O20100930045509 | Douglas Earl Bennett | DME SUPPLIER - PHARMACY |
Products Available:
Jeffrey Ryan Bennett has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Nebulizer Equipment & Supplies |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2005 S Mariposa Rd,
Stockton, California |
| Zip: | 95205-7735 |
| Phone Number: | 209-464-7722 |
| Fax Number: | 209-464-7404 |
Patients can reach Jeffrey Ryan Bennett at
2005 S Mariposa Rd, Stockton, California or can
call on customer care at 209-464-7722.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.