Jodi Michelle Johnson, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH028144 Issued in GA

Practice address

200 S Patterson St
Valdosta, GA 31601-5621

Phone

(229) 248-6028

Fax

(888) 276-7897

NPI assigned

Jul 27, 2015

Sex

Female

Sole proprietor

Yes

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

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437955200000",
    "number": "1093190472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S PATTERSON ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316015621",
            "telephone_number": "229-248-6028",
            "fax_number": "888-276-7897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S PATTERSON ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316015621",
            "telephone_number": "229-248-6028",
            "fax_number": "888-276-7897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JODI",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-27",
        "last_updated": "2015-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH028144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diera Shinay Johnson
• Elizabeth Johnson, LMSW
• Esau Johnson
• Jay Michael Johnson, MED,ATC,LAT
• Jeffery Irwin Johnson, M.D.
• Joe H Johnson, M.D.
• Joyce W Johnson, LCSW
• Kacie Parrish Johnson, N.P.
• Kaitlynn Johnson, APRN
• Laura Johnson, MED/CF-SLP

• Pharmacist in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; 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.