Active NPI
Andrea Lynn Johnson, RPH
- Pharmacist
- Berlin, CT
National Provider Identifier
1154608842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PCT.0008474
- Practice address
- 980 Farmington Ave
Berlin, CT 06037-2219 - Phone
- (860) 828-6844
- Fax
- (860) 828-6738
- NPI assigned
- Nov 8, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | PCT.0008474 | CT | Primary |
Addresses
Primary practice location
980 Farmington Ave
Berlin, CT 06037-2219
Mailing address
980 Farmington Ave
Berlin, CT 06037-2219
Phone (860) 828-6844
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCT.0008474 | CT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320710400000",
"number": "1154608842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "980 FARMINGTON AVE",
"city": "BERLIN",
"state": "CT",
"postal_code": "060372219",
"telephone_number": "860-828-6844",
"fax_number": "860-828-6738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "980 FARMINGTON AVE",
"city": "BERLIN",
"state": "CT",
"postal_code": "060372219",
"telephone_number": "860-828-6844",
"fax_number": "860-828-6738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "ANDREA",
"middle_name": "LYNN",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-08",
"last_updated": "2011-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "PCT.0008474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berlin, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.