Active NPI
Niesha Y Johnson
- Pharmacist
- Alexandria, VA
National Provider Identifier
1326641994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202218640
- Practice address
- 3101 Richmond Hwy
Alexandria, VA 22305-3042 - Phone
- (703) 706-3852
- NPI assigned
- Nov 17, 2020
- Last updated
- Nov 17, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 66495 | TX | |
| Pharmacist | 183500000X | 0202218640 | VA | Primary |
Addresses
Primary practice location
3101 Richmond Hwy
Alexandria, VA 22305-3042
Mailing address
3101 Richmond Hwy
Alexandria, VA 22305-3042
Phone (703) 706-3852
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 |
|---|---|---|---|
| 66495 | TX | MD | Professional Counselor |
| 0202218640 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia CVS Pharmacy LLC | Current | Accepting new patients | |
| Virginia CVS Pharmacy, L.L.C. | Past | Accepting new patients |
Locations
3101 Richmond Hwy
Alexandria, VA 22305
Phone (703) 706-3852
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605571200000",
"number": "1326641994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3101 RICHMOND HWY",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223053042",
"telephone_number": "703-706-3852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3101 RICHMOND HWY",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223053042",
"telephone_number": "703-706-3852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "NIESHA",
"middle_name": "Y",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-17",
"last_updated": "2020-11-17",
"certification_date": "2020-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "66495",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202218640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.