Active NPI
Emily N Johnson, PHARMD
- Pharmacist
- Fort Mill, SC
National Provider Identifier
1023300209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 011524
- Practice address
- 1750 Highway 160 W
Fort Mill, SC 29708-8009 - Phone
- (803) 396-0450
- NPI assigned
- May 6, 2011
- Last updated
- May 6, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 011524 | SC | Primary |
| Pharmacist | 183500000X | 18712 | NC | |
| Pharmacist | 183500000X | 5302034173 | MI |
Addresses
Primary practice location
1750 Highway 160 W
Fort Mill, SC 29708-8009
Mailing address
1750 Highway 160 W
Fort Mill, SC 29708-8009
Phone (803) 396-0450
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 |
|---|---|---|---|
| 5302034173 | MI | MD | Pharmacist |
| 18712 | NC | MD | Pharmacist |
| 011524 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harris Teeter LLC | Past | Accepting new patients | |
| Harris Teeter, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- Fort Mill, SC
- NPI 1821191792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304640000000",
"number": "1023300209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1750 HIGHWAY 160 W",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297088009",
"telephone_number": "803-396-0450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 HIGHWAY 160 W",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297088009",
"telephone_number": "803-396-0450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "EMILY",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-06",
"last_updated": "2011-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "011524",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "18712",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302034173",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Mill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.