Active NPI
Andrew Winston Johnson, PHARMD
- Pharmacist
- Alma, MI
National Provider Identifier
1609488998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302045236
- Practice address
- 1420 Wright Ave
Alma, MI 48801-1018 - Phone
- (989) 463-2704
- Fax
- (989) 463-8596
- NPI assigned
- Aug 19, 2020
- Last updated
- Aug 19, 2020
- Sex
- Male
- 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 | 5302045236 | MI | Primary |
Addresses
Primary practice location
1420 Wright Ave
Alma, MI 48801-1018
Mailing address
1420 Wright Ave
Alma, MI 48801-1018
Phone (989) 463-2704
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302045236 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1420 Wright Ave
Alma, MI 48801
Phone (989) 463-2704
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": "1597795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597795200000",
"number": "1609488998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 WRIGHT AVE",
"city": "ALMA",
"state": "MI",
"postal_code": "488011018",
"telephone_number": "989-463-2704",
"fax_number": "989-463-8596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 WRIGHT AVE",
"city": "ALMA",
"state": "MI",
"postal_code": "488011018",
"telephone_number": "989-463-2704",
"fax_number": "989-463-8596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "ANDREW",
"middle_name": "WINSTON",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-19",
"last_updated": "2020-08-19",
"certification_date": "2020-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302045236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alma, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.