Active NPI
Jonn Bailey, PHARM.D.
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- New Orleans, LA
National Provider Identifier
1073919403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 020557
- Practice address
- 5640 Read Blvd
New Orleans, LA 70127-3140 - Phone
- (504) 248-5357
- NPI assigned
- Nov 12, 2014
- Last updated
- Nov 12, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 020557 | LA | Primary |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 448188 | PA |
Addresses
Primary practice location
5640 Read Blvd
New Orleans, LA 70127-3140
Mailing address
1 Drexel Dr
Box College of Pharmacy
New Orleans, LA 70125-1056
Phone (504) 520-5339
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020557 | LA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 448188 | PA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415750400000",
"number": "1073919403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 DREXEL DR",
"address_2": "BOX COLLEGE OF PHARMACY",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701251056",
"telephone_number": "504-520-5339",
"fax_number": "504-520-7971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5640 READ BLVD",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701273140",
"telephone_number": "504-248-5357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "JONN",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-11-12",
"last_updated": "2014-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "LA",
"license": "020557",
"primary": true
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "PA",
"license": "448188",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.