Jeffrey Ryan Bennett
Jeffrey Ryan Bennett is a healthcare organization registered as Community/Retail Pharmacy in Stockton, CA, holding Type 2 (organization) NPI 1417052937 since 2006. The authorized official on file is Jeffrey Bennett, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1417052937 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jeffrey Ryan Bennett |
| Other name | <Unavail> |
| Practice address | 2005 S MARIPOSA RD, Stockton, CA, 95205 |
| Phone | 2094647722 |
| Fax | 2094647404 |
| Enumeration date | 2006-09-13 |
| Last updated in NPPES | 2025-09-16 |
Authorized official
| Name | Jeffrey Bennett |
|---|---|
| Title | Owner |
| Phone | 2094647722 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0003X | Community/Retail Pharmacy | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0510239 | Other | — | NCPDP |
| 1205642592 | Medicaid | CA | — |
| PHY59418 | Other | CA | CALIFORNIA STATE BOARD OF PHARMACY |
Copy-ready billing details
Provider: Jeffrey Ryan Bennett NPI: 1417052937 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 2005 S MARIPOSA RD, Stockton, CA, 95205
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1437328226 | Frank Precissi | Individual | Pharmacist | Stockton, CA |
| 1205642592 | Jeffrey Bennett | Individual | Community/Retail Pharmacy | Stockton, CA |
Verify this record
Cross-check NPI 1417052937 against the authoritative CMS record: view Jeffrey Ryan Bennett on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Jeffrey Ryan Bennett?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-09-16.