Active NPI
Bonnie Kate Lewis
- Pharmacist
- Bossier City, LA
National Provider Identifier
1467939645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22545
- Practice address
- 4000 Barksdale Blvd
Bossier City, LA 71112-3902 - Phone
- (318) 606-6306
- NPI assigned
- Jul 20, 2018
- 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 | 22545 | LA | Primary |
Addresses
Primary practice location
4000 Barksdale Blvd
Bossier City, LA 71112-3902
Mailing address
1301 Coates Bluff Dr Apt 433
Shreveport, LA 71104-2849
Phone (318) 450-7255
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22545 | LA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532044800000",
"number": "1467939645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 COATES BLUFF DR APT 433",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711042849",
"telephone_number": "318-450-7255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 BARKSDALE BLVD",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711123902",
"telephone_number": "318-606-6306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "BONNIE",
"middle_name": "KATE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-20",
"last_updated": "2018-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "22545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bossier City, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.