Lisa Maria Johnson, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202204178 Issued in VA

Practice address

1098 Frederick Blvd
Portsmouth, VA 23707-4119

Phone

(757) 399-6150

Fax

(757) 399-6178

NPI assigned

Oct 26, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1285234773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 STONEWALL CT",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234352690",
            "telephone_number": "757-615-5142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1098 FREDERICK BLVD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237074119",
            "telephone_number": "757-399-6150",
            "fax_number": "757-399-6178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LISA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-26",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "17385",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202204178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy Delois Johnson
• Kimberly Johnson, R.N.
• Kimberly Renee Johnson, EP
• Kristi Johnson, M.S., CCC-SLP
• Kyle Robert Johnson, DDS
• Mark Stephen Johnson, MD
• Rebecca Lynn Johnson, M.D.
• Shawn Johnson, DO
• Susan Deana Johnson, DDS
• Tisheka Monay Johnson

• Pharmacist in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.