Active NPI
Elizabeth Ann Johnson
- Pharmacist
- Erie, PA
National Provider Identifier
1750908166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP447479
- Practice address
- 5535 Peach St
Erie, PA 16509-2603 - Phone
- (814) 868-3492
- Fax
- (814) 868-3405
- NPI assigned
- Jul 1, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP447479 | PA | Primary |
Addresses
Primary practice location
5535 Peach St
Erie, PA 16509-2603
Mailing address
5535 Peach St
Erie, PA 16509-2603
Phone (814) 868-3492
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RPI007174 | Other | PA | AUTHORIZATION TO ADMINISTER INJECTABLES |
| RP447479 | Other | PA | PHARMACIST |
Other names 1
- Elizabeth Ann Hofstetter
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP447479 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593561600000",
"number": "1750908166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5535 PEACH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165092603",
"telephone_number": "814-868-3492",
"fax_number": "814-868-3405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5535 PEACH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165092603",
"telephone_number": "814-868-3492",
"fax_number": "814-868-3405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-01",
"last_updated": "2020-07-01",
"certification_date": "2020-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP447479",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AUTHORIZATION TO ADMINISTER INJECTABLES",
"identifier": "RPI007174",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST",
"identifier": "RP447479",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "HOFSTETTER",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.