Bradley James Johnston, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS65936 Issued in FL

Practice address

3535 Central Ave
St Petersburg, FL 33713-8405

Phone

(813) 689-2273

NPI assigned

Jul 21, 2023

Last updated

Dec 15, 2023By the provider in NPPES

Sex

Male

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.

• Holiday CVS L.L.C.

  dba Cvs Pharmacy #17915

  • Pharmacy
  • Wesley Chapel, FL
  • NPI 1770467466
  NPD (past)
• Holiday CVS LLC

  dba CVS Pharmacy 02760

  • Pharmacy
  • Tampa, FL
  • NPI 1700980679
  NPD (past)

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

{
    "created_epoch": "1689897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1588344832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 BURLWOOD DR",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335497514",
            "telephone_number": "813-507-3798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138405",
            "telephone_number": "813-689-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "BRADLEY",
        "middle_name": "JAMES",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-21",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS65936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomasina Johnson, BA
• Timothy Edward Johnson, D.C.
• Todd Johnson
• William Joseph Johnson, RPH
• Abigail Johnston, PA
• Karie Maloney Johnston, L.C.S.W.
• Cheryl Anne Johnstone, M.D.
• Jennifer Joiner, APRN, PMHNP-BC
• Joint Replacement Cin of Tampa LLC
• Kristina Jonas, RN-BSN, BC-FMNS

• Pharmacist in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.