MEDICARE: NICHOLAS EDMOND BENNETT PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	S018497	AZ

General Provider Information

NPI Number	:	1265715791
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICHOLAS EDMOND BENNETT PHARMD

Provider Business Mailing Address
First Line	:	2522 N RILEY RD
Second Line	:
City	:	BUCKEYE
State	:	AZ
Zip	:	85396-1549
Country	:	US
Telephone Number	:	623-570-1947
Fax Number	:

Provider Business Practice Location Address
First Line	:	8325 W INDIAN SCHOOL RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85037-2125
Country	:	US
Telephone Number	:	623-245-7353
Fax Number	:	623-245-7347

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/21/2011
Last Update Date	:	09/21/2011

Similar Medicare Providers

1003858531 — SMITHS FOOD & DRUG CENTERS INC
Practice Location Address:

8325 W INDIAN SCHOOL RD
PHOENIX, AZ
85037-2125

Practice Phone: 623-245-7353
Practice Fax: 623-245-7347

1922409796 — DR. BENJAMIN F FOMINYAM PHARM.D / MBA
Practice Location Address:

8325 W INDIAN SCHOOL RD
PHOENIX, AZ
85037-2125

Practice Phone: 623-245-7353
Practice Fax: 623-245-7347

1780086447 — DR. MARK SMITH PHARM D
Practice Location Address:

8325 W INDIAN SCHOOL RD
PHOENIX, AZ
85037-2125

Practice Phone: 623-245-7320
Practice Fax:

1063969327 — ALIYAH ABDUL-RASHEED
Practice Location Address:

8325 W INDIAN SCHOOL RD
PHOENIX, AZ
85037-2125

Practice Phone: 623-245-7353
Practice Fax:

1811216302 — MR. KEVIN ANH PHAM RPH
Practice Location Address:

2626 S 83RD AVE
PHOENIX, AZ
85043-2125

Practice Phone: 623-907-2472
Practice Fax: 623-907-2472

1245767409 — VMAS SOLUTIONS, INC DBA TOUCHPOINT SOLUTION
Practice Location Address:

2125 W FILLMORE ST
PHOENIX, AZ
85009-4515

Practice Phone: 602-254-7027
Practice Fax:

Directions to “ NICHOLAS EDMOND BENNETT PHARMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.