Johnspharmacyabq LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

JOHNSPHARMACYABQ LLC

Doing business as

JOHN'S PHARMACY

Practice address

9134 Central Ave SE
Albuquerque, NM 87123-2510

Phone

(505) 299-6169

Fax

(505) 296-8859

NPI assigned

Jan 8, 2019

Organization subpart

No

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

Authorized official

Name

John MaNPI 1285043836

Title

Ceo

Phone

(505) 299-6169

Specialties & licenses 1

Addresses

Other names 1

• JOHN'S PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Ma

  • Pharmacist
  • Albuquerque, NM
  • NPI 1285043836
  NPD Authorized official

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571097600000",
    "number": "1679046122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9134 CENTRAL AVE SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871232510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9134 CENTRAL AVE SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871232510",
            "telephone_number": "505-299-6169",
            "fax_number": "505-296-8859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSPHARMACYABQ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-08",
        "last_updated": "2019-10-15",
        "status": "A",
        "authorized_official_last_name": "MA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-299-6169"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JOHN'S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tiffany Johnson, LPN
• Tiffany Nicole Johnson, NP
• Veronica Lynn Johnson, OTR/L
• William Laing Johnson, M.D.
• Yeji Catharina Johnson, RBT INTERN
• J. Elise Johnston, CRNA
• Jessica Johnston, PA-C
• Mark Phillip Johnston, NP
• Mary Johnston, DPT
• Pamela J Johnston

• Community/Retail Pharmacy in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Community/Retail Pharmacy in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.