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JEFFREY RYAN BENNETT
NPI 1417052937
Pharmacy - Community/Retail Pharmacy in Stockton, CA

Active since September 13, 2006
2005 S MARIPOSA RD, STOCKTON, CA 95205(209) 464-7722(209) 464-7404 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 16, 2025, Sep 17, 2024, Jul 27, 2023 and 1 more (4 updates tracked since 2020).

About Jeffrey Ryan Bennett NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFREY RYAN BENNETT (NPI 1417052937), doing business as El Dorado Drug Store, is a healthcare organization registered as a community/retail pharmacy in Stockton, California and active in the NPI registry since September 2006. The organization lists Jeffrey Bennett, Owner, as its authorized official.

NPPES Registry Identity

NPI1417052937
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameJEFFREY RYAN BENNETT
Location Address2005 S MARIPOSA RDStockton, CA 95205-7735
Mailing Address2005 S Mariposa RdStockton, CA 95205-7735 · (209) 464-7722 · Fax (209) 464-7404
Phone(209) 464-7722
Fax(209) 464-7404
Organization SubpartNo
Authorized OfficialJeffrey BennettOwner · (209) 464-7722
Enumeration DateSeptember 13, 2006
Last NPPES UpdateSeptember 16, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2025
✔ NPI 1417052937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
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.
2005 S MARIPOSA RD, Stockton, CA 95205
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Other Names 1

Doing Business AsEl Dorado Drug Store

Other Identifiers 3

Other0510239Ncpdp
Medicaid1205642592CA
OtherPHY59418CA · California State Board Of Pharmacy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
27 services27 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
19 services19 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEFFREY RYAN BENNETT
Pharmacy (Community/Retail Pharmacy)
2005 S MARIPOSA RD
STOCKTON, CA 95205
San Joaquin County (209) 464-7722
FRANK PAUL PRECISSI PHARMD
Pharmacist
2005 S MARIPOSA RD
STOCKTON, CA 95205
San Joaquin County (209) 464-7722

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Ryan Bennett's NPI number?

The NPI number for Jeffrey Ryan Bennett is 1417052937. It was assigned to this organization in the NPPES registry on September 13, 2006. The provider is doing business as El Dorado Drug Store.

Where is Jeffrey Ryan Bennett located?

Jeffrey Ryan Bennett is located at 2005 S Mariposa Rd, Stockton, CA 95205. The listed phone number is (209) 464-7722.

What is Jeffrey Ryan Bennett's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Jeffrey Ryan Bennett accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 41 other insurers list Jeffrey Ryan Bennett as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeffrey Ryan Bennett was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.