Nancy Ellen Johnson

Primary specialty

PharmacistTaxonomy code 183500000X

License

47546 Issued in CA

Practice address

481 Old Mammoth Road
Mammoth Lakes, CA 93546

Phone

(760) 934-4337

Fax

(760) 934-8097

NPI assigned

Oct 26, 2010

Last updated

Oct 26, 2010By 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

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.

• Vons Companies Inc

  dba Vons Pharmacy #0286

  • Community/Retail Pharmacy
  • Santa Monica, CA
  • NPI 1720879919
  NPD (past)
• Vons Companies Inc

  dba Vons Pharmacy #2400

  • Community/Retail Pharmacy
  • Mammoth Lakes, CA
  • NPI 1871522821
  NPD (past)

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288051200000",
    "number": "1588964381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 OLD MAMMOTH RD",
            "city": "MAMMOTH LAKES",
            "state": "CA",
            "postal_code": "93546",
            "telephone_number": "760-934-4337",
            "fax_number": "760-934-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 OLD MAMMOTH ROAD",
            "city": "MAMMOTH LAKES",
            "state": "CA",
            "postal_code": "93546",
            "telephone_number": "760-934-4337",
            "fax_number": "760-934-8097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "NANCY",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-26",
        "last_updated": "2010-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "47546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Constance M. Henderson, L.C.S.W.
• Shane Hennes
• Kyle Howell, M.D.
• Christopher Hummel, M.D.
• Intouch Microspa
• Richard Owen Johnson, MD
• Michael Karch, M.D.
• Grace Charmie Kim, MD, MPP
• Kimdoc LLC
• Aleksandras Kirsonis, PHARMD

• Pharmacist in Mammoth Lakes, CA
• Providers in Mammoth Lakes, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.