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Deactivated NPI 1902194525 Deactivated / Inactive NPI Female Practitioner

Lisa Marie Bennett

Pharmacist • Eden, NC

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Lisa Bennett has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 17, 2011
NPI Deactivation Date January 19, 2022
Total Practice Duration ~11 Years of Practice (2011 – 2022)

Professional Overview & Biography Verified Profile Summary

Lisa Bennett was a registered Pharmacist practicing in Eden, NC. Throughout an active medical career spanning 11 years, Lisa Bennett provided care at the practice location at 544 MORGAN RD until profile deactivation on 2022-01-19.

Practice Location & Contact Primary Location

Practice Address

544 Morgan Rd

Eden, NC 272882524

Telephone 3366233132
Fax 3366239127
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Eden, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
24 Specialists

Practicing in Eden, NC (9829 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License NC 15133

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1346884186

Doctor of Pharmacy (Pharm.D.)

NPI 1356736516

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 19, 2022

Record deactivated on January 19, 2022

NPI Profile Active March 29, 2016

NPI status registered as active in NPPES database

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Updated Practice Location March 29, 2016

Registered at 544 MORGAN RD, EDEN, NC 272882524 (Tel: 3366233132)

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Updated Business Mailing Address March 29, 2016

Registered at 544 MORGAN RD, EDEN, NC 272882524 (Tel: 3366233132)

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Provider Name / Credentials Updated March 29, 2016

Recorded as LISA BENNETT

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2016

Pharmacist (License #15133 in NC)

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Initial NPI Registration & Enumeration July 17, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902194525
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 17, 2011
Last Update: March 29, 2016
Deactivation Date: January 19, 2022

Mailing Address

544 Morgan Rd

Eden, NC 272882524

Phone: 3366233132

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.