Individual provider Active NPI

John Bannister, RPH

  • Pharmacist
  • Homer, LA
National Provider Identifier
1194034660
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
15778 Issued in LA
Practice address
833 W Main St
Homer, LA 71040-3322
Phone
(318) 927-3523
Fax
(318) 927-3526
NPI assigned
Oct 1, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 15778 LA Primary

Addresses

Primary practice location

833 W Main St
Homer, LA 71040-3322

Mailing address

126 Carondelet CT
Bossier City, LA 71111-5478
Phone (318) 550-5212

Other practice location 1

200 E Palmetto Ave
Plain Dealing, LA 71064-4258
Phone (318) 326-4759

Other practice location 2

311 Chisum St
Sicily Island, LA 71368-4807
Phone (318) 389-5807

Other practice location 3

2431 Military Rd
Ringgold, LA 71068-2597
Phone (318) 894-0278

Other identifiers 1

IdentifierTypeStateIssuer
15778OtherLASTATE LICENSE

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
15778LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
CJ Reynolds Pharmacy Group LLC PastSince May 11, 2025 Accepting new patients
Ringgold Pharmacy & Wellness, LLC PastSince Apr 1, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1194034660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 CARONDELET CT",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711115478",
            "telephone_number": "318-550-5212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 W MAIN ST",
            "city": "HOMER",
            "state": "LA",
            "postal_code": "710403322",
            "telephone_number": "318-927-3523",
            "fax_number": "318-927-3526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 E Palmetto Ave",
            "address_purpose": "LOCATION",
            "city": "Plain Dealing",
            "state": "LA",
            "postal_code": "710644258",
            "country_code": "US",
            "telephone_number": "318-326-4759",
            "fax_number": "318-326-7383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "311 Chisum St",
            "address_purpose": "LOCATION",
            "city": "Sicily Island",
            "state": "LA",
            "postal_code": "713684807",
            "country_code": "US",
            "telephone_number": "318-389-5807",
            "fax_number": "318-389-1090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2431 Military Rd",
            "address_purpose": "LOCATION",
            "city": "Ringgold",
            "state": "LA",
            "postal_code": "710682597",
            "country_code": "US",
            "telephone_number": "318-894-0278",
            "fax_number": "318-894-0283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANNISTER",
        "first_name": "JOHN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-01",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "15778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "15778",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homer, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.