Amanda Lee Johnson, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH60114432 Issued in WA

Practice address

4315 6TH Ave
Walgreen'S Pharmacy #03519
Tacoma, WA 98406-4014

Phone

(253) 756-5159

Fax

(253) 756-5086

NPI assigned

Feb 16, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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.

• Walgreen Co

  • Pharmacy
  • Tacoma, WA
  • NPI 1467467423
  NPD (past)
• Walgreen Co

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

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

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266278400000",
    "number": "1053633172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4315 6TH AVE",
            "address_2": "WALGREEN'S PHARMACY #03519",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984064014",
            "telephone_number": "253-756-5159",
            "fax_number": "253-756-5086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 6TH AVE",
            "address_2": "WALGREEN'S PHARMACY #03519",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984064014",
            "telephone_number": "253-756-5159",
            "fax_number": "253-756-5086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AMANDA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-16",
        "last_updated": "2010-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60114432",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "20 052756",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aceca Aaliah Johnson-Scott
• Brittany Johnson-Watson
• Alesia Cassandra Johnson, RN
• Alisa Cherie Johnson, PHARMD
• Allison Johnson, LMT
• Andrea G Johnson, COTA
• Andrene Johnson
• Anneliese M. Johnson, MD
• April Nicole Johnson
• Benjamin D Johnson, PHD

• Pharmacist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; 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.