Nadine Johnson, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

I-039375 Issued in NY

Practice address

23 Slayton Ave
Spencerport, NY 14559-1427

Phone

(585) 352-4020

Fax

(585) 352-4385

NPI assigned

Feb 17, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1487289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487289600000",
    "number": "1740729128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 SAINT PAUL BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146172351",
            "telephone_number": "203-768-8413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 SLAYTON AVE",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145591427",
            "telephone_number": "585-352-4020",
            "fax_number": "585-352-4385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "NADINE",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-17",
        "last_updated": "2017-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "I-039375",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "08132",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel G. Jividen, D.C.
• Treasa Job
• Madison John
• Jacqueline M Johnson, OTR/L
• Michael W Johnson, PHARMD
• Nicole Patricia Johnson, PT
• Katherine Management Group Inc
• Grace Keegan, M.S. CCC-SLP
• Sean James Kelley, PT, DPT
• Katherine Lawson Kellogg, CCC-SLP/L

• Pharmacist in Spencerport, NY
• Providers in Spencerport, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; 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.