Individual provider Active NPI

Kimberly C Johnson, RPH

  • Pharmacist
  • Gainesville, FL
National Provider Identifier
1649874967
Registry record updated Nov 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS32645 Issued in FL
Practice address
3404 SW Archer Rd
Gainesville, FL 32608-2409
Phone
(352) 373-2507
NPI assigned
Nov 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS32645 FL Primary

Addresses

Primary practice location

3404 SW Archer Rd
Gainesville, FL 32608-2409

Mailing address

3404 SW Archer Rd
Gainesville, FL 32608-2409
Phone (352) 373-2507

Electronic endpoints 5

TypeEndpointUseAffiliation
CONNECT URL / Health Information Exchange (HIE)
CONNECT URL / Health Information Exchange (HIE)
CONNECT URL / Health Information Exchange (HIE)
CONNECT URL / Health Information Exchange (HIE)
CONNECT URL / Health Information Exchange (HIE)

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PS32645FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1606435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606435200000",
    "number": "1649874967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3404 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326082409",
            "telephone_number": "352-373-2507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3404 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326082409",
            "telephone_number": "352-373-2507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KIMBERLY",
        "middle_name": "C",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-27",
        "last_updated": "2020-11-27",
        "certification_date": "2020-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS32645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "/",
            "affiliation": "N",
            "endpointDescription": "/",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3404 SW Archer Rd",
            "city": "Gainesville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "326082409",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "/",
            "affiliation": "N",
            "endpointDescription": "/",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3404 SW Archer Rd",
            "city": "Gainesville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "326082409",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "/",
            "affiliation": "N",
            "endpointDescription": "/",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3404 SW Archer Rd",
            "city": "Gainesville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "326082409",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "/",
            "affiliation": "N",
            "endpointDescription": "/",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3404 SW Archer Rd",
            "city": "Gainesville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "326082409",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "/",
            "affiliation": "N",
            "endpointDescription": "/",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3404 SW Archer Rd",
            "city": "Gainesville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "326082409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.

Verify at the official NPI Registry.