Elizabeth Johnson

Primary specialty

PharmacistTaxonomy code 183500000X

License

017866 Issued in GA

Practice address

2545 E Walnut Ave
Dalton, GA 30721-8799

Phone

(706) 278-6555

NPI assigned

Oct 27, 2020

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

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 and National Provider Directory roles.

• Edisto RX, LLC

  • Community/Retail Pharmacy
  • Edisto Island, SC
  • NPI 1649103045
  NPD Authorized official

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1124628367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 SHANNON DR",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307205796",
            "telephone_number": "706-271-6357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 E WALNUT AVE",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307218799",
            "telephone_number": "706-278-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "017866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Johnson
• Ashley E Johnson, MCD, CCC-SLP
• Bruce L Johnson, O.D.
• Caitlin Mariah Johnson, LPC, CRC
• Donna Mali Johnson, MSN, AGACNP-BC.
• Juanita Johnson
• Katherine Johnson, LCSW
• Marilyn Ball Johnson, LDO
• Courtney Griffin Johnston, PA-C
• Dustin Johnston

• All providers in Dalton, GA
• Pharmacist in Georgia

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