Active NPI
Decola Johnson, PHARM.D.
- Pharmacist
- Atlanta, GA
National Provider Identifier
1053717074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21960
- Practice address
- 835 Martin Luther King Jr Dr NW
Atlanta, GA 30314-3644 - Phone
- (404) 460-2706
- NPI assigned
- Nov 18, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 21960 | MD | Primary |
| Pharmacist | 183500000X | RPH027494 | GA |
Addresses
Primary practice location
835 Martin Luther King Jr Dr NW
Atlanta, GA 30314-3644
Mailing address
1925 Monroe Dr NE Apt 1463
Atlanta, GA 30324-7834
Phone (443) 373-7305
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 |
|---|---|---|---|
| 21960 | MD | MD | Social Worker |
| RPH027494 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416268800000",
"number": "1053717074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1925 MONROE DR NE APT 1463",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303247834",
"telephone_number": "443-373-7305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 MARTIN LUTHER KING JR DR NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303143644",
"telephone_number": "404-460-2706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "DECOLA",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-18",
"last_updated": "2014-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "21960",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH027494",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.