Active NPI
Avenelle K Johnson, RPH
- Pharmacist
- Binghamton, NY
National Provider Identifier
1326504085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 065150
- Practice address
- 1179 Vestal Ave Ste 1
Binghamton, NY 13903-1606 - Phone
- (607) 723-7584
- Fax
- (607) 773-0936
- NPI assigned
- Feb 18, 2019
- 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 | 065150 | NY | Primary |
Addresses
Primary practice location
1179 Vestal Ave Ste 1
Binghamton, NY 13903-1606
Mailing address
56 Johnson Ave
Binghamton, NY 13905-4223
Phone (607) 297-8702
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 065150 | NY | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550448000000",
"number": "1326504085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 JOHNSON AVE",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139054223",
"telephone_number": "607-297-8702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1179 VESTAL AVE STE 1",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139031606",
"telephone_number": "607-723-7584",
"fax_number": "607-773-0936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "AVENELLE",
"middle_name": "K",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-18",
"last_updated": "2019-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "065150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Binghamton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.