Active NPI
Pamela Byrne Johnson, R.PH., C.PH,
- Pharmacist
- Largo, FL
National Provider Identifier
1083724223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PU626
- Practice address
- 2200 Tall Pines Dr
Suite 118
Largo, FL 33771-5341 - Phone
- (727) 524-9333
- NPI assigned
- Aug 30, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PU626 | FL | Primary |
| Pharmacist | 183500000X | PS13520 | FL | |
| Pharmacist | 183500000X | 7378 | AL |
Addresses
Primary practice location
2200 Tall Pines Dr
Suite 118
Largo, FL 33771-5341
Mailing address
4021 Audubon Dr
Largo, FL 33771-3309
Phone (727) 536-7685
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7378 | AL | MD | Pharmacist |
| PS13520 | FL | MD | Pharmacist |
| PU626 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pharmacy Corporation of America | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083724223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4021 AUDUBON DR",
"city": "LARGO",
"state": "FL",
"postal_code": "337713309",
"telephone_number": "727-536-7685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 TALL PINES DR",
"address_2": "SUITE 118",
"city": "LARGO",
"state": "FL",
"postal_code": "337715341",
"telephone_number": "727-524-9333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "PAMELA",
"middle_name": "BYRNE",
"name_prefix": "Ms.",
"credential": "R.PH., C.PH,",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PU626",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS13520",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "7378",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.