Latasha Johnson

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH020690 Issued in GA

Practice address

239 Temple Ave
Newnan, GA 30263-1368

Phone

(770) 253-2694

NPI assigned

Nov 30, 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

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1245835180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 BOTANICA WAY",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302134359",
            "telephone_number": "770-331-5442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 TEMPLE AVE",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631368",
            "telephone_number": "770-253-2694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LATASHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH020690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alfred Wilford Johnson, CRNA
• April Franchesca Johnson
• Bernard Thornton Johnson
• Carol Johnson, NP
• Kristina B Johnson
• Leslie J. Johnson, FNP-C
• Malinda Johnson, PA-C, OTR
• Margaret Pringle Johnson
• Patricia Leigh Johnson, ND
• Railan Diana Johnson, RBT

• Pharmacist in Newnan, GA
• Providers in Newnan, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.