Active NPI
John Barnes, PHARMD
- Pharmacist
- Holly Hill, FL
National Provider Identifier
1811277403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS40179
- Practice address
- 1340 Ridgewood Ave
Holly Hill, FL 32117-2320 - Phone
- (386) 676-7173
- NPI assigned
- Aug 26, 2011
- Sex
- Male
- 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 | PS40179 | FL | Primary |
Addresses
Primary practice location
1340 Ridgewood Ave
Holly Hill, FL 32117-2320
Mailing address
1340 Ridgewood Ave
Holly Hill, FL 32117-2320
Phone (386) 676-7173
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 |
|---|---|---|---|
| PS40179 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439769600000",
"number": "1811277403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1340 RIDGEWOOD AVE",
"city": "HOLLY HILL",
"state": "FL",
"postal_code": "321172320",
"telephone_number": "386-676-7173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1340 RIDGEWOOD AVE",
"city": "HOLLY HILL",
"state": "FL",
"postal_code": "321172320",
"telephone_number": "386-676-7173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNES",
"first_name": "JOHN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-26",
"last_updated": "2015-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS40179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holly Hill, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.