Active NPI
Angela L Johnson, PHARMD, MBA, MS
- Pharmacist
- Washington, DC
National Provider Identifier
1013373612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202214553
- Practice address
- 620 Jefferson St NE
Washington, DC 20011-2643 - Phone
- (202) 744-6896
- NPI assigned
- Jan 12, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202214553 | VA | Primary |
| Pharmacist | 183500000X | PH10001882 | DC |
Addresses
Primary practice location
620 Jefferson St NE
Washington, DC 20011-2643
Mailing address
620 Jefferson St NE
Washington, DC 20011-2643
Phone (202) 744-6896
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
- Master of Business Administration, Master of Science, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH10001882 | DC | MD | Pharmacist |
| 0202214553 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452556800000",
"number": "1013373612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 JEFFERSON ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200112643",
"telephone_number": "202-744-6896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 JEFFERSON ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200112643",
"telephone_number": "202-744-6896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "ANGELA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PHARMD, MBA, MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-12",
"last_updated": "2016-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202214553",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DC",
"license": "PH10001882",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.