Johnson Pharmacy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY47297 Issued in CA

Legal business name

JOHNSON PHARMACY CORP

Doing business as

L a Good Neighbor Pharmacy

Practice address

4562 E Cesar E Chavez Ave
Los Angeles, CA 90022-1117

Phone

(323) 796-0250

Fax

(323) 796-0251

NPI assigned

Jun 11, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marvin Fong, PHARM D

Title

President

Phone

(626) 272-4373

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• L A GOOD NEIGHBOR PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1407898042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 W COMMONWEALTH AVE",
            "address_2": "STE D 375",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918031435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4562 E CESAR E CHAVEZ AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900221117",
            "telephone_number": "323-796-0250",
            "fax_number": "323-796-0251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "FONG",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-272-4373",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY47297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA47297",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "5616707",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "L A GOOD NEIGHBOR PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joselyn Johnson Castaneda
• Rashaad Shahib Johnson Charon, CMT
• Loraine Oweela Johnson Davis
• Deborah Jean Johnson Hayes, LCSW
• Fred Johnson Jr.
• Phoebe Hannah Johnson-Black, MD
• Keena Johnson-Bolden, FNP-BC
• Ramona Lynn Johnson-Hackett, BS,RTC
• Natasha Johnson-Henderson
• Lajoi Johnson-Huff

• Community/Retail Pharmacy in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.