Mary Johnson

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

051289349 Issued in IL

Practice address

855 S Randall Rd
St Charles, IL 60174-1570

Phone

(616) 430-9555

NPI assigned

Jul 9, 2014

Last updated

Jul 9, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404864000000",
    "number": "1467868414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 S RANDALL RD",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 S RANDALL RD",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741570",
            "telephone_number": "616-430-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-09",
        "last_updated": "2014-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "IL",
            "license": "051289349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Johnson, M.S., CCC-SLP
• Katie Lynne Johnson, DC, LAC
• Kelsey Teresa Johnson
• Lawrence L Johnson, M.D.
• Madison Johnson, RBT
• Paula Johnston
• Janette Sue Jones, APRN
• Mia Jones, MASTERS DEGREE
• Lindsay Brianne Jorns, PT, DPT
• Joseph Wolski, DMD, P.C. (Bespoke Dental Co.)

• Pharmacotherapy Pharmacist in St Charles, IL
• Providers in St Charles, IL by specialty
• Pharmacotherapy Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; 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.