Kimberly Kay Johnson, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

03217876 Issued in OH

Practice address

26625 Dixie Hwy
Perrysburg, OH 43551-1712

Phone

(419) 872-6904

Fax

(419) 872-6917

NPI assigned

Feb 1, 2021

Last updated

Feb 1, 2021By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Locations

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.

• Churchills Perrysburg LTD

  dba Walt Churchill's Market

  • Community/Retail Pharmacy
  • Perrysburg, OH
  • NPI 1265595888
  NPD Authorized official

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1811588965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4844 SKELLY RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436232739",
            "telephone_number": "419-376-4364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26625 DIXIE HWY",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511712",
            "telephone_number": "419-872-6904",
            "fax_number": "419-872-6917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KIMBERLY",
        "middle_name": "KAY",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-01",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03217876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kjohnson@churchills.market",
            "affiliation": "N",
            "endpointDescription": "Pharmacy Manager email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "26625 Dixie Hwy",
            "city": "Perrysburg",
            "state": "OH",
            "country_code": "US",
            "postal_code": "435511712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christina A Jaworski, MSN,CNP
• Audrey Jennings, FNP-BC
• Nirupma Jetley, LCDCIII
• Elizabeth Anne Jiannuzzi, MSW, LISW
• JLF Transportation LLC
• Tashala Johnson, QMHS
• Robert Scott Johnston, D.P.M.
• Jon B. Dove, D.D.S. a Professional LLC
• Susan Lynne Jones Miller, MACCCA
• Osheona Jones

• Pharmacist in Perrysburg, OH
• Providers in Perrysburg, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.