Lolettima Johnson, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

P7463 Issued in ID

Practice address

795 W Overland Rd
Meridian, ID 83642-6556

Phone

(208) 917-6905

NPI assigned

Oct 12, 2016

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

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476230400000",
    "number": "1740730852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 W OVERLAND RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 W OVERLAND RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426556",
            "telephone_number": "208-917-6905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LOLETTIMA",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-12",
        "last_updated": "2016-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P7463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clark A Johnson, D.P.M.
• Courtney S. Johnson, LPC
• Frank Noren Johnson, M.D.
• Heather Marie Johnson, NP
• Julie Marie Johnson, MD
• Makaila Dawn Johnson, DPT
• Mark A Johnson, DO
• Mary Johnson, PT
• Nicole Johnson, LPC
• Rebecca Yvonne Johnson, LMSW

• Pharmacist in Meridian, ID
• Providers in Meridian, ID by specialty
• Pharmacist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.