Angela Johnson, PHARMD, BCGP

Primary specialty

Geriatric PharmacistTaxonomy code 1835G0303X

License

5184 Issued in SD

Practice address

9101 W Lakeside Dr
Sioux Falls, SD 57107-3004

Phone

(605) 376-6873

NPI assigned

Jun 14, 2023

Last updated

Jun 14, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1548944994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 W LAKESIDE DR",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571073004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 W LAKESIDE DR",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571073004",
            "telephone_number": "605-376-6873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANGELA",
        "credential": "PHARMD, BCGP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "SD",
            "license": "5184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnson Periodontics, Prof. LLC
• Diane Teresa Johnson-Mitchell, LPC-MH, QMHP
• Amber Marie Johnson, CNP
• Andrew C Johnson, DDS
• Andrew Timothy Johnson, RN
• Annette Marie Johnson, PHARM.D.
• Becky Lee Johnson, MS LPC
• Benjamin David Johnson, DDS
• Bianca Johnson, MD
• Bianca Kay Johnson

• Geriatric Pharmacist in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Geriatric Pharmacist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.