John Bull Pharmacy, Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

4086203001 Issued in LA

Legal business name

JOHN BULL PHARMACY, INC

Practice address

2124 38TH St
Kenner, LA 70065-3510

Phone

(504) 443-1294

Fax

(504) 443-1982

NPI assigned

Jul 1, 2005

Organization subpart

No

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

Authorized official

Name

Mr. John Edward Bull, P.D.

Title

President

Phone

(504) 443-1294

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1992702187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 38TH ST",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700653510",
            "telephone_number": "504-443-1294",
            "fax_number": "504-443-1982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 38TH ST",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700653510",
            "telephone_number": "504-443-1294",
            "fax_number": "504-443-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN BULL PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-01",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BULL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "504-443-1294",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "LA",
            "license": "4086203001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1253111",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1918018",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Kenner, LA
• Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.