Individual provider Active NPI

John Assan Banahene, PHARMD

  • Pharmacist
  • Pickerington, OH
National Provider Identifier
1780128363
Registry record updated Sep 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03135309 Issued in OH
Practice address
10501 Blacklick Eastern Rd Ste 800
Pickerington, OH 43147-7878
Phone
(614) 779-6846
NPI assigned
Dec 15, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PCT.0012937 CT
Pharmacist 183500000X 03135309 OH Primary

Addresses

Primary practice location

10501 Blacklick Eastern Rd Ste 800
Pickerington, OH 43147-7878

Mailing address

10501 Blacklick Eastern Rd Ste 800
Pickerington, OH 43147-7878
Phone (614) 779-6846

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

LicenseStateTypeSpecialty
PCT.0012937CTMDPharmacist
03135309OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Vitacare Pharmacy LTC CurrentSince Nov 18, 2025 Accepting new patients
Vitacare Pharmacy Inc. CurrentSince Sep 29, 2019 Accepting new patients
Jaybees Staffing LLC Current Accepting new patients
Rite Aid of Ohio Inc Past Accepting new patients

Locations

10501 Blacklick Eastern Rd
Ste 800
Pickerington, OH 43147
Phone (614) 333-0168

Organizations & group practices 4

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": "1481760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1780128363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10501 BLACKLICK EASTERN RD STE 800",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431477878",
            "telephone_number": "614-779-6846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 BLACKLICK EASTERN RD STE 800",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431477878",
            "telephone_number": "614-779-6846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANAHENE",
        "first_name": "JOHN",
        "middle_name": "ASSAN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-15",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCT.0012937",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03135309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pickerington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; 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.