Maggie Johnson
Individual provider Active NPI Pharmacist · Paoli, IN
NPI 1619633344 · NPPES record last updated Nov 17, 2021
Key facts
- NPI
- 1619633344
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 26021753A (IN)
- Practice address
- 2648 E County Road 100 N
Paoli, IN 47454-8209 - Phone
- (317) 385-1375
- NPI assigned
- Nov 17, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26021753A | IN | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26021753A | IN | Yes |
Addresses
Primary practice location
2648 E County Road 100 N
Paoli, IN 47454-8209
Mailing address
2648 E County Road 100 N
Paoli, IN 47454-8209
Other providers in Paoli, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.