Samantha Johnson, PHARMD
Individual provider Active NPI Pharmacist · China Grove, NC
NPI 1306519699 · NPPES record last updated Aug 1, 2021
Key facts
- NPI
- 1306519699
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 30678 (NC)
- Practice address
- 230 Willow Bend LN
China Grove, NC 28023-8001 - Phone
- (704) 936-8248
- NPI assigned
- Aug 1, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30678 | NC | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 30678 | NC | Yes |
Addresses
Primary practice location
230 Willow Bend LN
China Grove, NC 28023-8001
Mailing address
230 Willow Bend LN
China Grove, NC 28023-8001
Phone (704) 936-8248
Other providers in China Grove, NC
- Richard Henry Harsch
- Jennifer Brandee Hinson
- Michelle Hopkins
- Jack E. Morgan
- Kayla Miranda Morrow Jester
- Brittany Lee Jordan
- Maria Teresa Jose
- JP and F Inc
- JP and F Inc
- Lauren Richelle Karaszewski
All providers in China Grove, NC · Pharmacist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.