Active NPI
Moniquea Johnson
- Pharmacist
- Arlington, TN
National Provider Identifier
1609153147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0000010307
- Practice address
- 9085 Highway 64
Arlington, TN 38002-7981 - Phone
- (901) 382-1533
- NPI assigned
- Nov 11, 2011
- Last updated
- Apr 26, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0000010307 | TN | Primary |
Addresses
Primary practice location
9085 Highway 64
Arlington, TN 38002-7981
Mailing address
PO Box 2122
Cordova, TN 38088-2122
Phone (901) 290-5412
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000010307 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335398400000",
"number": "1609153147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2122",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380882122",
"telephone_number": "901-290-5412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9085 HIGHWAY 64",
"city": "ARLINGTON",
"state": "TN",
"postal_code": "380027981",
"telephone_number": "901-382-1533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "MONIQUEA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-11",
"last_updated": "2012-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "0000010307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.