John Booker IV

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202007759 Issued in VA

Practice address

515 Mount Cross Rd
Danville, VA 24540-4065

Phone

(434) 799-6813

NPI assigned

Nov 11, 2020

Last updated

Nov 11, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1689276909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3037 WESTOVER DR",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245415447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 MOUNT CROSS RD",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245404065",
            "telephone_number": "434-799-6813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOKER",
        "first_name": "JOHN",
        "name_suffix": "IV",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-11",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202007759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edythe A Boitnott, NP
• Beth Boles
• Blair Bolton
• James William Bolton III, DDS
• Anna Moses Bomar, COTA/L
• Lisa Boone-Kennerly
• Deirdre A. Boro, PA-C
• Boshra G Zakhary MD PC
• Elizabeth Michelle Bostic, LCSW
• Victoria Annette Bowles

• Pharmacist in Danville, VA
• Providers in Danville, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; 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.