Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Johnson Sullivan Fairbanks, RPH

Individual provider Pharmacotherapy Pharmacist · NPI 1134332968

Johnson Sullivan Fairbanks, RPH is a Pharmacotherapy Pharmacist in Alexandria, Louisiana. Licensed in Louisiana. Registered with an NPI since 2007.

Licensed in
LA
In the registry since
2007
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

1527 Mohon St
Alexandria, LA 71301-3431
Phone: (318) 442-2359
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacotherapy Pharmacist (primary) Taxonomy 1835P1200X · Licence 10542 (LA)

Record details

NPI number1134332968
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorNo
NPI enumeratedMay 8, 2007
Last updated in NPPESJuly 8, 2007

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