Andrea Johns, PT

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

PT217802 Issued in MS

Practice address

218 Caldwell Dr
Hazlehurst, MS 39083-2712

Phone

(601) 894-1222

Fax

(601) 894-1315

NPI assigned

Jun 25, 2016

Last updated

Jun 25, 2016By 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.

• City Drug Store of Hazlehurst, Inc.

  dba Rose's Super Discount Drugs

  • Community/Retail Pharmacy
  • Hazlehurst, MS
  • NPI 1467532663
  NPD (past)

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

{
    "created_epoch": "1466812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466812800000",
    "number": "1639520125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 CALDWELL DR",
            "city": "HAZLEHURST",
            "state": "MS",
            "postal_code": "390832712",
            "telephone_number": "601-894-1222",
            "fax_number": "601-894-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 CALDWELL DR",
            "city": "HAZLEHURST",
            "state": "MS",
            "postal_code": "390832712",
            "telephone_number": "601-894-1222",
            "fax_number": "601-894-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNS",
        "first_name": "ANDREA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-25",
        "last_updated": "2016-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "MS",
            "license": "PT217802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keyera Holmes, PCMHT
• Hope Healthcare Staffing Agen Cy
• Destiny Marielle Irving
• Isd Renal Inc (Hazlehurst Dialysis)
• Jerry J Long DDS PA
• Vicki B. Johns, R.PH.
• Laquita L. Johnson, PHARMD
• Rochelle Jones, LPN
• Joyful & Caring Homecare Services LLC
• Karis Staffing Agency

• Pharmacy Technician in Hazlehurst, MS
• Providers in Hazlehurst, MS by specialty
• Pharmacy Technician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2016; 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.