Individual provider Active NPI

Megan Leanne Johnson, PHARMD

  • Pharmacist
  • Paintsville, KY
National Provider Identifier
1689118978
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
018596 Issued in KY
Practice address
330 N Mayo TRL
Paintsville, KY 41240-1804
Phone
(606) 789-7116
Fax
(606) 789-3504
NPI assigned
Dec 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 018596 KY Primary

Addresses

Primary practice location

330 N Mayo TRL
Paintsville, KY 41240-1804

Mailing address

330 N Mayo TRL
Paintsville, KY 41240-1804
Phone (606) 789-7116

Other practice location 1

215 Cassidy Blvd
Pikeville, KY 41501-1426
Phone (606) 437-9209

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

LicenseStateTypeSpecialty
018596KYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
K-VA-T Food Stores Inc PastSince Jan 24, 2021 Accepting new patients
K VA T Food Stores Inc PastSince Jan 24, 2021 Accepting new patients
K-VA-T Food Stores Inc Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1480982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1689118978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 N MAYO TRL",
            "city": "PAINTSVILLE",
            "state": "KY",
            "postal_code": "412401804",
            "telephone_number": "606-789-7116",
            "fax_number": "606-789-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N MAYO TRL",
            "city": "PAINTSVILLE",
            "state": "KY",
            "postal_code": "412401804",
            "telephone_number": "606-789-7116",
            "fax_number": "606-789-3504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 Cassidy Blvd",
            "address_purpose": "LOCATION",
            "city": "Pikeville",
            "state": "KY",
            "postal_code": "415011426",
            "country_code": "US",
            "telephone_number": "606-437-9209",
            "fax_number": "606-437-2341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MEGAN",
        "middle_name": "LEANNE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-06",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "018596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paintsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.