Denise Marie Johnson, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302022615 Issued in MI

Practice address

646 S Waverly Rd
Holland, MI 49423-9121

Phone

(616) 394-6501

Fax

(616) 394-6508

NPI assigned

Nov 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356412282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13895 LINCOLN ST",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494178820",
            "telephone_number": "616-846-0716",
            "fax_number": "616-394-6508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 S WAVERLY RD",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494239121",
            "telephone_number": "616-394-6501",
            "fax_number": "616-394-6508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DENISE",
        "middle_name": "MARIE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302022615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RPH LICENSE NUMBER",
            "identifier": "5302022615",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John R. Beyer, D. O., PLLC
• Amy Johncox
• David Johns, MD
• Tyler Jennings Johns
• Charlotte Johnson, MD
• Derick Michael Johnson, D.O.
• Emily Faith Johnson
• Jason Johnson
• Randall Lee Johnson, MA, LLP
• Steven T Johnson, PH.D.

• Pharmacist in Holland, MI
• Providers in Holland, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.