Active NPI
Tommie L Johnson, PHARMD
- Pharmacist
- Clayton, NC
National Provider Identifier
1396096772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22211
- Practice address
- 11306 U.S. 70 Business Hwy W
Clayton, NC 27520 - Phone
- (919) 550-3910
- Fax
- (919) 550-3912
- NPI assigned
- Sep 26, 2012
- Last updated
- Sep 26, 2012
- 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 | 22211 | NC | Primary |
Addresses
Primary practice location
11306 U.S. 70 Business Hwy W
Clayton, NC 27520
Mailing address
11306 U.S. 70 Business Hwy W
Clayton, NC 27520
Phone (919) 550-3910
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22211 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348617600000",
"number": "1396096772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11306 U.S. 70 BUSINESS HWY W",
"city": "CLAYTON",
"state": "NC",
"postal_code": "27520",
"telephone_number": "919-550-3910",
"fax_number": "919-550-3912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11306 U.S. 70 BUSINESS HWY W",
"city": "CLAYTON",
"state": "NC",
"postal_code": "27520",
"telephone_number": "919-550-3910",
"fax_number": "919-550-3912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "TOMMIE",
"middle_name": "L",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-26",
"last_updated": "2012-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "22211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clayton, NC
- Laura D. Johnson, M.ED., CCC/SLP
- Lisa Woodall Johnson, LISA JOHNSON
- Paul L Johnson, PHD
- Shelby Lee Johnson, APRN, AGACNP-BC
- Taereka Johnson, MS, ATC, LAT
- Johnston Health Endoscopy Services, LLC (Johnston Endoscopy Center)
- Johnston MRI LLC
- Johnston Neurology, PA
- Johnston Psychiatric Associates, P.a.
- Johnston Radiation Oncology LLC (UNC Radiation Oncology at Clayton)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.