John Patrick Banahan

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS 54927 Issued in FL

Practice address

11427 Lake Lucaya Dr
Riverview, FL 33579-4105

Phone

(787) 340-0012

Fax

(813) 677-8890

NPI assigned

Apr 3, 2007

Last updated

Dec 5, 2016By 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 2

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1962523332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11427 LAKE LUCAYA DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335794105",
            "telephone_number": "787-340-0012",
            "fax_number": "813-677-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11427 LAKE LUCAYA DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335794105",
            "telephone_number": "787-340-0012",
            "fax_number": "813-677-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANAHAN",
        "first_name": "JOHN",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "3792",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS 54927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheryal Baker
• Kingston Lloyd Baldie, PHARMD
• Lori J Baldwin, CRNA
• Rebecca Ball
• Maritza Balzarini, FNP-BC
• Sunil Bandarupalli, M.D.
• Justin Lance Banjany, DO
• Sheila Baptiste
• Emad Milad Barakat, DDS, MPH, BDS
• Ashley Brianna Barall

• Pharmacist in Riverview, FL
• Providers in Riverview, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; 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.