Active NPI
John Paul Lawson Jr., PHARM.D.
- Pharmacist
- Bonne Terre, MO
National Provider Identifier
1790958288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2005007709
- Practice address
- 36 N Allen St
Bonne Terre, MO 63628-1210 - Phone
- (573) 358-3311
- Fax
- (573) 358-7971
- NPI assigned
- Apr 7, 2008
- Last updated
- Mar 20, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 | 2005007709 | MO | Primary |
Addresses
Primary practice location
36 N Allen St
Bonne Terre, MO 63628-1210
Mailing address
36 N Allen St
Bonne Terre, MO 63628-1210
Phone (573) 358-3311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2005007709 | Other | MO | PHARMACIST 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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005007709 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daleco, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba USA Drug #7636 Rehab
- Durable Medical Equipment & Medical Supplies
- Farmington, MO
- NPI 1881674588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237507200000",
"number": "1790958288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 N ALLEN ST",
"city": "BONNE TERRE",
"state": "MO",
"postal_code": "636281210",
"telephone_number": "573-358-3311",
"fax_number": "573-358-7971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 N ALLEN ST",
"city": "BONNE TERRE",
"state": "MO",
"postal_code": "636281210",
"telephone_number": "573-358-3311",
"fax_number": "573-358-7971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWSON",
"first_name": "JOHN",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-07",
"last_updated": "2009-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2005007709",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "2005007709",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bonne Terre, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.