Paul Johnson Jr.

Primary specialty

PharmacistTaxonomy code 183500000X

License

013441 Issued in LA

Practice address

4057 S Windmere St
Harvey, LA 70058-2237

Phone

(504) 689-4122

Fax

(504) 689-4125

NPI assigned

Sep 20, 2022

Sex

Male

Sole proprietor

No

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.

• Tewelde'S Lafitte Drugs 2, Inc.

  • Community/Retail Pharmacy
  • Lafitte, LA
  • NPI 1043976319
  NPD
• Tewelde'S Lafitte Drugs

  • Pharmacist
  • Lafitte, LA
  • NPI 1992852636
  NPD (past) Pharmacist

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 20, 2022.

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1043933674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 JEAN LAFITTE BLVD",
            "city": "LAFITTE",
            "state": "LA",
            "postal_code": "700675205",
            "telephone_number": "504-689-4122",
            "fax_number": "504-689-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4057 S WINDMERE ST",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700582237",
            "telephone_number": "504-689-4122",
            "fax_number": "504-689-4125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PAUL",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "013441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jireh Family Services
• JJ&M Transportation LLC
• Asia Johnson, BCBA, LBA
• Henry Johnson Sr.
• Jasmine Johnson
• Racquel Johnson
• Samuel Lee Johnson III, CAC, CCGC
• Tanisha L Johnson
• Tyriane Johnson
• Latina Jolivett, LMSW

• All providers in Harvey, LA
• Pharmacist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.