Bonita Michele Johnson

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202009862 Issued in VA

Practice address

1415 Crossings Centre Dr
Suite a
Forest, VA 24551

Phone

(434) 534-3350

Fax

(434) 534-3352

NPI assigned

Mar 31, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Eva RX Inc

  dba Forest Pharmacy

  • Community/Retail Pharmacy
  • Forest, VA
  • NPI 1780288720
  NPD

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1326788928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 CROSSINGS CENTRE DR",
            "address_2": "SUITE A",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "24551",
            "telephone_number": "434-534-3350",
            "fax_number": "434-534-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 CROSSINGS CENTRE DR",
            "address_2": "SUITE A",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "24551",
            "telephone_number": "434-534-3350",
            "fax_number": "434-534-3352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BONITA",
        "middle_name": "MICHELE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-31",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202009862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Michelle James, RBT
• Jeffrey B. Gogel, D.O. P.C.
• Callie Jett, REGISTERED NURSE
• Nithya Merin John, PA-C
• Yolonda Michelle Johnson Mosley
• Ellen Michelle Jones
• Geena Jones, LPC
• Marisa Catalano Jones, MED, LPC
• Joyful Journeys LLC
• Norman Miles Kahn, O.D.

• Pharmacist in Forest, VA
• Providers in Forest, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; 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.