Glen Ralph Johnson, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH009914 Issued in GA

Practice address

901 Santa Fe TRL
Macon, GA 31220-3724

Phone

(478) 474-1240

NPI assigned

Apr 17, 2009

Last updated

Oct 26, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1239926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477440000000",
    "number": "1427291608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 SANTA FE TRL",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312203724",
            "telephone_number": "478-737-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 SANTA FE TRL",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312203724",
            "telephone_number": "478-474-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "GLEN",
        "middle_name": "RALPH",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-17",
        "last_updated": "2016-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH009914",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS 12439",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• C Emory Johnson Jr., MD
• Carol Johnson, LCSW
• Christina Johnson
• Christy R Johnson, NP
• Douglas S Johnson, DMD
• Harold Kent Johnson, RPH
• Keith Russell Johnson, M.D.
• Kim Kinard Johnson, RN
• Kwezeta Johnson
• Laquanna Johnson, NP

• Pharmacist in Macon, GA
• Providers in Macon, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; 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.