Active NPI
Ashby Levi Johnson Jr.
- Ambulatory Care Pharmacist
- Alexandria, VA
National Provider Identifier
1366047771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 0202217219
- Practice address
- 2441 Eisenhower Ave
Alexandria, VA 22314-4684 - Phone
- (305) 608-0875
- NPI assigned
- Dec 2, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 0202217219 | VA | Primary |
Addresses
Primary practice location
2441 Eisenhower Ave
Alexandria, VA 22314-4684
Mailing address
2441 Eisenhower Ave
Alexandria, VA 22314-4684
Phone (305) 608-0875
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 |
|---|---|---|---|
| 0202217219 | VA | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606867200000",
"number": "1366047771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2441 EISENHOWER AVE",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223144684",
"telephone_number": "305-608-0875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2441 EISENHOWER AVE",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223144684",
"telephone_number": "305-608-0875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "ASHBY",
"middle_name": "LEVI",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-02",
"last_updated": "2020-12-02",
"certification_date": "2020-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "VA",
"license": "0202217219",
"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 Dec 2, 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.