Active NPI
Bethany Dianne Bonner, PHARM.D,
- Pharmacist
- New Orleans, LA
National Provider Identifier
1134553670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PST.020236
- Practice address
- 3100 Gentilly Blvd
New Orleans, LA 70122-3854 - Phone
- (504) 940-1498
- NPI assigned
- Sep 1, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PST.020236 | LA | Primary |
Addresses
Primary practice location
3100 Gentilly Blvd
New Orleans, LA 70122-3854
Mailing address
854 S Clearview Pkwy
Apt 317
River Ridge, LA 70123-6310
Phone (301) 437-4745
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 |
|---|---|---|---|
| PST.020236 | LA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377993600000",
"number": "1134553670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "854 S CLEARVIEW PKWY",
"address_2": "APT 317",
"city": "RIVER RIDGE",
"state": "LA",
"postal_code": "701236310",
"telephone_number": "301-437-4745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 GENTILLY BLVD",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701223854",
"telephone_number": "504-940-1498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONNER",
"first_name": "BETHANY",
"middle_name": "DIANNE",
"credential": "PHARM.D,",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-01",
"last_updated": "2013-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "PST.020236",
"primary": true
}
],
"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 Sep 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.