Tambrea LC Johnson, PHARMACIST, PTA

Primary specialty

PharmacistTaxonomy code 183500000X

License

43281 Issued in SC

Practice address

1324 Grove Park Dr
Orangeburg, SC 29115-2455

Phone

(803) 536-0007

NPI assigned

Nov 21, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1417224353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CADDIS CREEK CT",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290638140",
            "telephone_number": "803-331-7476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 GROVE PARK DR",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291152455",
            "telephone_number": "803-536-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TAMBREA",
        "middle_name": "LC",
        "name_prefix": "Ms.",
        "credential": "PHARMACIST, PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-21",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "1804",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "43281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack F Johnson Jr., MD
• Jim M Johnson Jr.
• Monica Monique Johnson, PMHNP
• Nicole Johnson
• Roger Dalton Johnson, CRNA
• Taunya Llvertrice Johnson, RN
• Vincent Bernard Johnson, APRN
• Joiful Skin LLC
• Alan Mark Jolles, M.D., P.A.
• Ebony Jones Washington

• Pharmacist in Orangeburg, SC
• Providers in Orangeburg, SC by specialty
• Pharmacist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.