Tevin Johnson, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS62793 Issued in FL

Practice address

1140 SW 36TH Ave
Pompano Beach, FL 33069-4835

Phone

(954) 917-1737

Fax

(954) 642-0445

NPI assigned

Aug 15, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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 and National Provider Directory roles.

• Publix Super Markets Inc

  • Community/Retail Pharmacy
  • Pompano Beach, FL
  • NPI 1205275757
  NPD (past)
• Publix Super Markets Inc

  • Community/Retail Pharmacy
  • North Lauderdale, FL
  • NPI 1629011648
  NPD (past)
• Publix Super Markets Inc

  • Community/Retail Pharmacy
  • Winter Haven, FL
  • NPI 1760356380
  NPD (past)

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

{
    "created_epoch": "1628985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1235804816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1297 S STATE ROAD 7",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330684021",
            "telephone_number": "954-973-3605",
            "fax_number": "954-973-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 SW 36TH AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330694835",
            "telephone_number": "954-917-1737",
            "fax_number": "954-642-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TEVIN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-15",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS62793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "PS62793",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pharmacy.0748@publix.com",
            "affiliation": "N",
            "address_1": "1140 SW 36th Ave",
            "city": "Pompano Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330694835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jeri Lynn Johnson
• Kenneth Larry Johnson I
• Lynette Johnson, AU. D
• Peggy Johnson
• Prince Johnson
• William Johnson
• Denneil Johnston
• Jennifer Che Johnston
• Schwanna Dolores Joiner
• Marie Joinvil-Noel

• Pharmacist in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.