Active NPI
Jamie L Johnson, PHARMD
- Pharmacist
- Laramie, WY
National Provider Identifier
1114227188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3342
- Practice address
- 554 N 3Rd St
Laramie, WY 82072-3012 - Phone
- (307) 745-4224
- Fax
- (307) 755-5241
- NPI assigned
- Oct 25, 2010
- Last updated
- Oct 25, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 3342 | WY | Primary |
Addresses
Primary practice location
554 N 3Rd St
Laramie, WY 82072-3012
Mailing address
554 N 3Rd St
Laramie, WY 82072-3012
Phone (307) 745-4224
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 |
|---|---|---|---|
| 3342 | WY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | Past | Accepting new patients | |
| Safeway Inc | Past | Accepting new patients |
Organizations & group practices 2
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": "1287964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287964800000",
"number": "1114227188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "554 N 3RD ST",
"city": "LARAMIE",
"state": "WY",
"postal_code": "820723012",
"telephone_number": "307-745-4224",
"fax_number": "307-755-5241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "554 N 3RD ST",
"city": "LARAMIE",
"state": "WY",
"postal_code": "820723012",
"telephone_number": "307-745-4224",
"fax_number": "307-755-5241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "JAMIE",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-25",
"last_updated": "2010-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WY",
"license": "3342",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laramie, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.