Active NPI
Chanda Michelle Johnson, DOCTOR OF PHARMACY
- Nuclear Pharmacist
- San Antonio, TX
National Provider Identifier
1437456928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Pharmacist
- License
- 51356
- Practice address
- 2115 Pleasanton Rd Ste 100
San Antonio, TX 78221-1300 - Phone
- (210) 923-7717
- Fax
- (210) 923-3720
- NPI assigned
- Feb 17, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S015699 | AZ | |
| Nuclear Pharmacist | 1835N0905X | 51356 | TX | Primary |
Addresses
Primary practice location
2115 Pleasanton Rd Ste 100
San Antonio, TX 78221-1300
Mailing address
2115 Pleasanton Rd Ste 100
San Antonio, TX 78221-1300
Phone (210) 923-7717
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51356 | TX | MD | Social Worker |
| S015699 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yahweh Health, LLC | Current | Accepting new patients |
Locations
2115 Pleasanton Rd
Ste 100
San Antonio, TX 78221
Phone (210) 923-7717
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627603200000",
"number": "1437456928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2115 PLEASANTON RD STE 100",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782211300",
"telephone_number": "210-923-7717",
"fax_number": "210-923-3720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2115 PLEASANTON RD STE 100",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782211300",
"telephone_number": "210-923-7717",
"fax_number": "210-923-3720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "CHANDA",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "DOCTOR OF PHARMACY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-17",
"last_updated": "2021-07-30",
"certification_date": "2021-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S015699",
"primary": false
},
{
"code": "1835N0905X",
"taxonomy_group": "",
"desc": "Pharmacist, Nuclear",
"state": "TX",
"license": "51356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.