Kelly Owens Johnson, PHARMD

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

37233 Issued in SC

Practice address

479 Bypass 72 NW Ste 100
Greenwood, SC 29649-1484

Phone

(864) 223-8909

NPI assigned

Jul 27, 2017

Last updated

Apr 12, 2018By 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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Publix Super Markets Inc

  dba Publix Pharmacy #1464

  • Community/Retail Pharmacy
  • Greenwood, SC
  • NPI 1255731097
  NPD (past)
• Publix Super Markets Inc

  dba Publix Pharmacy #0874

  • Community/Retail Pharmacy
  • Greenville, SC
  • NPI 1376583716
  NPD (past)
• Publix Super Markets Inc

  dba Publix Pharmacy #2107

  • Community/Retail Pharmacy
  • Winter Haven, FL
  • NPI 1760356380
  NPD (past)

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

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1568986917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 STONEWOOD DR",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296499709",
            "telephone_number": "803-240-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 BYPASS 72 NW STE 100",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296491484",
            "telephone_number": "864-223-8909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 Pelham Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296152546",
            "country_code": "US",
            "telephone_number": "864-370-8215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KELLY",
        "middle_name": "OWENS",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-27",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "37233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allie Johnson, DPT
• Deshandra Felisha Johnson, LPC
• Jane Pruett Johnson, OTR/L
• Joel Johnson, PHARMD
• Katherine Johnson, MD
• Paula R Johnson, MS LD RD
• Shanautica Johnson
• Skyla Nicole Johnson
• Bobby Jeremy Jones
• Julie Renee Jones, PHD, FACMG

• Community/Retail Pharmacy in Greenwood, SC
• Providers in Greenwood, SC by specialty
• Community/Retail Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; 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.