Kelly Vanessa Johnson, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

10435 Issued in TN

Practice address

905 Snapps Ferry Rd
Greeneville, TN 37745-4026

Phone

(423) 638-8689

NPI assigned

Mar 26, 2007

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

Doctor of Pharmacy

State licenses

Practice roles

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.

• K-VA-T Food Stores Inc

  • Community/Retail Pharmacy
  • Greeneville, TN
  • NPI 1144247503
  NPD (past)
• K VA T Food Stores Inc

  • Community/Retail Pharmacy
  • Huntsville, AL
  • NPI 1245038512
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366560641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 PLEASANT HILL RD",
            "city": "BULLS GAP",
            "state": "TN",
            "postal_code": "377114603",
            "telephone_number": "423-638-8689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 SNAPPS FERRY RD",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454026",
            "telephone_number": "423-638-8689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KELLY",
        "middle_name": "VANESSA",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "10435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "10435",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary J Johnson Barton, PMHNP-BC
• Angela Johnson, FNP
• Angela Helen Johnson, PTA
• Daniel Patrick Johnson, APRN
• Jennifer Leigh Johnson, APRN, FNP-C
• Larry G Johnson, CRNA
• Maryellen Johnson, FNP
• Teena Helen Johnson, R. N.
• David Blair Jones, DDS
• Erin Peavyhouse Jones, PHARMD

• Pharmacist in Greeneville, TN
• Providers in Greeneville, TN by specialty
• Pharmacist in Tennessee

• 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.