Active NPI
Melissa Ann Johnson, PHARMD
- Pharmacist
- Erwin, NC
National Provider Identifier
1396282075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16205
- Practice address
- 590 E Jackson Blvd
Erwin, NC 28339-9629 - Phone
- (910) 892-1011
- Fax
- (910) 892-3074
- NPI assigned
- Jan 19, 2017
- 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 | 16205 | NC | Primary |
Addresses
Primary practice location
590 E Jackson Blvd
Erwin, NC 28339-9629
Mailing address
590 E Jackson Blvd
Erwin, NC 28339-9629
Phone (910) 892-1011
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 |
|---|---|---|---|
| 16205 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729382400000",
"number": "1396282075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "590 E JACKSON BLVD",
"city": "ERWIN",
"state": "NC",
"postal_code": "283399629",
"telephone_number": "910-892-1011",
"fax_number": "910-892-3074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 E JACKSON BLVD",
"city": "ERWIN",
"state": "NC",
"postal_code": "283399629",
"telephone_number": "910-892-1011",
"fax_number": "910-892-3074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "MELISSA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-19",
"last_updated": "2024-10-20",
"certification_date": "2024-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "16205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Erwin, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.