Peggy Johnson

Primary specialty

Funeral DirectorTaxonomy code 176P00000X

Practice address

250 NW 31St Ave Unit 6
Pompano Beach, FL 33069-2518

Phone

(754) 234-6100

NPI assigned

Oct 7, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1285453381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2827 N COURSE DR",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330693081",
            "telephone_number": "754-234-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 NW 31ST AVE UNIT 6",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330692518",
            "telephone_number": "754-234-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PEGGY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "176P00000X",
            "taxonomy_group": "",
            "desc": "Funeral Director",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iris Lorraine Johnson
• Jenay Johnson
• Jeri Lynn Johnson
• Kenneth Larry Johnson I
• Lynette Johnson, AU. D
• Prince Johnson
• Tevin Johnson, PHARMD
• William Johnson
• Denneil Johnston
• Jennifer Che Johnston

• Funeral Director in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Funeral Director in Florida

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

Verify at the official NPI Registry.