Miranda Jean Johnson, DPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

TN6362 Issued in TN

Practice address

Food City Pharmacy #654
507 South Charles Seviers Blvd
Clinton, TN 37716

Phone

(865) 457-5259

NPI assigned

Jan 6, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1053909036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 RIVERS RUN BLVD",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378309007",
            "telephone_number": "865-719-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FOOD CITY PHARMACY #654",
            "address_2": "507 SOUTH CHARLES SEVIERS BLVD",
            "city": "CLINTON",
            "state": "TN",
            "postal_code": "37716",
            "telephone_number": "865-457-5259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MIRANDA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "DPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-01-06",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "TN6362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Jay Insell, PHARMD
• Jacksboro Urgent Care LLC
• Alexandra J James, SLP
• Kenia C Jennings, OTR/L
• Jana Renee Johnson, CNA
• Rachel Johnson, SLP
• Teresa B Johnston, PT
• Cathy Jones, LPN
• Judy B Jones
• K-VA-T Food Stores, Inc.

• Pharmacist in Clinton, TN
• Providers in Clinton, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.