Individual provider Active NPI

Angelina M Bannister, RPH

  • Pharmacist
  • Baton Rouge, LA
National Provider Identifier
1568567485
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
13296 Issued in LA
Practice address
7968 Essen Park
Baton Rouge VA Outpatient Clinic - Pharmacy Service
Baton Rouge, LA 70809-7439
Phone
(225) 761-6700
NPI assigned
Sep 14, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 13296 LA Primary

Addresses

Primary practice location

7968 Essen Park
Baton Rouge VA Outpatient Clinic - Pharmacy Service
Baton Rouge, LA 70809-7439

Mailing address

2455 Weldwood Dr
Apt 9304
Baton Rouge, LA 70816-5836
Phone (504) 495-1751

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
13296LAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568567485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 WELDWOOD DR",
            "address_2": "APT 9304",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708165836",
            "telephone_number": "504-495-1751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7968 ESSEN PARK",
            "address_2": "BATON ROUGE VA OUTPATIENT CLINIC - PHARMACY SERVICE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708097439",
            "telephone_number": "225-761-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANNISTER",
        "first_name": "ANGELINA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "13296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.