Active NPI
Donna Johnson
- Pharmacist
- Pine Bluff, AR
National Provider Identifier
1376985424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD07603
- Practice address
- 4720 Dollarway Rd
Pine Bluff, AR 71602-4126 - Phone
- (870) 535-8317
- Fax
- (870) 534-4677
- NPI assigned
- Jul 17, 2013
- Last updated
- Jul 17, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | PD07603 | AR | Primary |
Addresses
Primary practice location
4720 Dollarway Rd
Pine Bluff, AR 71602-4126
Mailing address
4720 Dollarway Rd
Pine Bluff, AR 71602-4126
Phone (870) 535-8317
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 |
|---|---|---|---|
| PD07603 | AR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374019200000",
"number": "1376985424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4720 DOLLARWAY RD",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "716024126",
"telephone_number": "870-535-8317",
"fax_number": "870-534-4677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4720 DOLLARWAY RD",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "716024126",
"telephone_number": "870-535-8317",
"fax_number": "870-534-4677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "DONNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-17",
"last_updated": "2013-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD07603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pine Bluff, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.