Alicia Ann Johnson, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

20856-40 Issued in WI

Practice address

1717 Milton Ave
Janesville, WI 53545-0884

Phone

(608) 754-2278

NPI assigned

Jun 24, 2021

Last updated

Jun 24, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Locations

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.

• Walgreen Co

  dba Walgreens #04055

  • Pharmacy
  • Janesville, WI
  • NPI 1558376442
  NPD
• Walgreen Co

  dba Walgreens #21605

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1043889850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 MILTON AVE",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535450884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 MILTON AVE",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535450884",
            "telephone_number": "608-754-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ALICIA",
        "middle_name": "ANN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "20856-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "rxm.04055@store.walgreens.com",
            "affiliation": "Y",
            "affiliationName": "WALGREEN CO",
            "address_1": "1717 Milton Ave",
            "city": "Janesville",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535450884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mollie Ann Jesberger, APNP
• Amy Jesse, LMT
• Brooke M Jessie, PT
• Joan Jimenez, CCC-SLP
• Kay F Johnson-Keys, MD
• Carissa Lynn Johnson, LCSW
• Daleena J Johnson, AANP-BC, AGPCNP, MSN
• Debra Lynn Johnson, LCSW
• Diane M Johnson, OT
• Jennifer H Johnson, MD

• Pharmacist in Janesville, WI
• Providers in Janesville, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.