Amanda Hiester Johnson, PHARMD

Primary specialty

Geriatric PharmacistTaxonomy code 1835G0303X

License

28742 Issued in NC

Practice address

185 Pine State St
Lillington, NC 27546-9415

Phone

(910) 893-2986

NPI assigned

Aug 22, 2019

Last updated

Aug 22, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Practice roles

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

• Cape Fear Long Term Care Pharmacy LLC

  • Long Term Care Pharmacy
  • Lillington, NC
  • NPI 1972940377
  NPD (past)

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1790332880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 FALDO CV",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276035549",
            "telephone_number": "919-539-0473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 PINE STATE ST",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275469415",
            "telephone_number": "910-893-2986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AMANDA",
        "middle_name": "HIESTER",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-22",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "NC",
            "license": "28742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber James, PHARMD
• Jala Jene James, NA
• Maria Pulido Jeffries, RPH
• Kaneesha Bonita Jenrette, LMBT
• JKM Community Services, PLLC
• Nikole Johnson, LCSW
• Tara Renee Johnson, M.S., CCC/SLP
• Tiy Johnson, PA-C
• Cynthia Lachmann Johnston, FNP
• Manavi Johri

• Geriatric Pharmacist in Lillington, NC
• Providers in Lillington, NC by specialty
• Geriatric Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.