Cory Johnson

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

11865 Issued in AL

Practice address

2133 E Aberdeen Dr
Montgomery, AL 36116-1307

Phone

(334) 294-6032

NPI assigned

Aug 15, 2013

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

Other names 1

• Joshua Agency Professional name

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": "1376524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450310400000",
    "number": "1588097398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E FLEMING RD",
            "address_2": "2133 EAST ABERDEEN DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361053208",
            "telephone_number": "334-294-6032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2133 E ABERDEEN DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361161307",
            "telephone_number": "334-294-6032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CORY",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-15",
        "last_updated": "2015-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "11865",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "AL",
            "license": "11865",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSHUA",
            "last_name": "AGENCY",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ashley Danielle Johnson, PTA
• Ashley Kirktrell Johnson, ALC
• Bradley Keith Johnson, CRNA
• Caroline Brawley Johnson, MS, RDN, LD
• Chanta Johnson
• Danita Johnson
• Derrick Michael Johnson, PA-C
• Haley Browning Johnson, OTR/L
• Henry Goodwin Johnson, MD
• Ignacia Johnson, LMSW

• Durable Medical Equipment & Medical Supplies in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Durable Medical Equipment & Medical Supplies in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; 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.