Active NPI
Veronda Elaina Johnson, PHARMD
- Pharmacist
- Southaven, MS
National Provider Identifier
1326643255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E-12665
- Practice address
- 55 Goodman Rd W
Southaven, MS 38671-9447 - Phone
- (662) 349-1102
- Fax
- (662) 349-1103
- NPI assigned
- Nov 30, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | E-12665 | MS | Primary |
Addresses
Primary practice location
55 Goodman Rd W
Southaven, MS 38671-9447
Mailing address
55 Goodman Rd W
Southaven, MS 38671-9447
Phone (662) 349-1102
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Veronda.Johnson@cvshealth.com | ||
| Direct Messaging Address | Veronda.Johnson@cvshealth.com |
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-12665 | MS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mississippi CVS Pharmacy LLC | Past | Accepting new patients |
Interoperability endpoints
- veronda.johnson@cvshealth.com
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 and National Provider Directory roles.
-
- Pharmacy
- Hattiesburg, MS
- NPI 1760404453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606694400000",
"number": "1326643255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 GOODMAN RD W",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386719447",
"telephone_number": "662-349-1102",
"fax_number": "662-349-1103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 GOODMAN RD W",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386719447",
"telephone_number": "662-349-1102",
"fax_number": "662-349-1103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "VERONDA",
"middle_name": "ELAINA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-30",
"last_updated": "2020-11-30",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-12665",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Veronda.Johnson@cvshealth.com",
"affiliation": "N",
"address_1": "55 Goodman Rd W",
"city": "Southaven",
"state": "MS",
"country_code": "US",
"postal_code": "386719447",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Veronda.Johnson@cvshealth.com",
"affiliation": "N",
"address_1": "55 Goodman Rd W",
"city": "Southaven",
"state": "MS",
"country_code": "US",
"postal_code": "386719447",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Southaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.