Active NPI
Breaunna Johnson
- Pharmacist
- Whitesburg, KY
National Provider Identifier
1285452177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 024621
- Practice address
- 350 Whitesburg Plaza
Whitesburg, KY 41858 - Phone
- (606) 633-3120
- NPI assigned
- Sep 30, 2024
- Last updated
- Sep 30, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 024621 | KY | Primary |
Addresses
Primary practice location
350 Whitesburg Plaza
Whitesburg, KY 41858
Mailing address
350 Whitesburg Plaza
Whitesburg, KY 41858
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024621 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East LP | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba WalMart Pharmacy 10-0552
- Community/Retail Pharmacy
- Whitesburg, KY
- NPI 1205144904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727654400000",
"number": "1285452177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 WHITESBURG PLAZA",
"city": "WHITESBURG",
"state": "KY",
"postal_code": "41858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 WHITESBURG PLAZA",
"city": "WHITESBURG",
"state": "KY",
"postal_code": "41858",
"telephone_number": "606-633-3120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "BREAUNNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-30",
"last_updated": "2024-09-30",
"certification_date": "2024-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "024621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whitesburg, KY
- Larry Thomas Hickerson Jr., NP-C
- Kaya Holbrook, RN
- Hannah Holland
- Laci Alexandra Honeycutt, APRN
- Jacob Donley Hunter, APRN
- Kimberly H. Jones, APRN
- Joseph M. Banks (Joe Banks APRN Family Clinic)
- Sarah M Justice, PAC
- Akshaya Keerti, M.D.
- Kentucky River District Health Departmen T (Letcher County Board of Education)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.