Andrea Lynn Johnson, PHARMD

Primary specialty

Geriatric PharmacistTaxonomy code 1835G0303X

License

PS59497 Issued in FL

Practice address

4100 Hancock Bridge Pkwy
North Fort Myers, FL 33903-4251

Phone

(239) 997-3733

NPI assigned

Nov 17, 2020

Last updated

Nov 17, 2020By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Holiday CVS L.L.C.

  dba Cvs Pharmacy #17915

  • Pharmacy
  • Wesley Chapel, FL
  • NPI 1770467466
  NPD (past)

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1104429844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 HANCOCK BRIDGE PKWY",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339034251",
            "telephone_number": "239-997-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 HANCOCK BRIDGE PKWY",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339034251",
            "telephone_number": "239-997-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANDREA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "FL",
            "license": "PS59497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irbf Inc (Joseph F Campbell & Assoc)
• Natalie Jeanty
• Sandra Alina Jenkins
• Taira Yaisa Jimenez
• Heather Jipson, RRT
• Cynthia Ann Johnson, MA
• Nadee-Sheena Dee Joseph
• Jaleel Kahn
• Kyle Kaniuk, DC
• Keith a. Morse, D.M.D. ,PA. (Community Dental Care)

• Geriatric Pharmacist in North Fort Myers, FL
• Providers in North Fort Myers, FL by specialty
• Geriatric Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.