Melissa Jo Johnson, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

060932 Issued in NY

Practice address

48 Maple St
Potsdam, NY 13676-1124

Phone

(315) 262-0529

NPI assigned

Jun 23, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• KPH Healthcare Services, Inc.

  • Community/Retail Pharmacy
  • Carthage, NY
  • NPI 1649387820
  NPD (past)
• KPH Healthcare Services, Inc.

  • Community/Retail Pharmacy
  • Brattleboro, VT
  • NPI 1407747157
  NPD (past)

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1023634359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 MAPLE ST",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136761124",
            "telephone_number": "315-262-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 MAPLE ST",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136761124",
            "telephone_number": "315-262-0529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MELISSA",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-23",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "060932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Jarrett, R.N.
• Matthew Clark Jenison, ACNP
• Bernadette Lori Jenkins, OPTICIAN
• Stacie Jessmer, PTA
• Zachary Philip Johannesson, MD
• Amy Jones, LPN
• Heather Genevieve Jones, M.D.
• Michael L Joyce, PA
• Terri E Joyce, PA
• Shauntee June

• Pharmacist in Potsdam, NY
• Providers in Potsdam, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.