Louis Laverne Johnson, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

3946 Issued in CA

Practice address

1500 Anna Sparks Way
McKinleyville, CA 95519-4170

Phone

(707) 839-0140

NPI assigned

Aug 13, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534118400000",
    "number": "1114406899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 ANNA SPARKS WAY",
            "city": "MCKINLEYVILLE",
            "state": "CA",
            "postal_code": "955194170",
            "telephone_number": "808-346-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 ANNA SPARKS WAY",
            "city": "MCKINLEYVILLE",
            "state": "CA",
            "postal_code": "955194170",
            "telephone_number": "707-839-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LOUIS",
        "middle_name": "LAVERNE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-13",
        "last_updated": "2018-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "39146",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CA",
            "license": "39146",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "3946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST",
            "identifier": "39146",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lawrence Gunnar Johanson, D.D.S.
• S Shaun Johanson, DDS
• Brittany Johnson
• Cynthia Johnson, NP
• Fredrick Anthony Johnson II, DDS
• Andrea Lee Jones, ASW
• Tasha Kahoalii
• Aimee Louise Keiser, OT
• Patricia Kay Kerig, PHD
• Kimberly Lynne Kerpan, COTA

• Pharmacist in McKinleyville, CA
• Providers in McKinleyville, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; 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.