Active NPI
Maegan Marie Johnson
- Pharmacist
- Slidell, LA
National Provider Identifier
1831574060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PST.021120
- Practice address
- 100 N Military Rd
Slidell, LA 70461-4197 - Phone
- (985) 645-0488
- NPI assigned
- Jul 29, 2015
- Last updated
- Jul 29, 2015
- 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 | PST.021120 | LA | Primary |
Addresses
Primary practice location
100 N Military Rd
Slidell, LA 70461-4197
Mailing address
183 Carr Dr
Slidell, LA 70458-5601
Phone (504) 812-4501
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 |
|---|---|---|---|
| PST.021120 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Louisiana Co Inc | Past | Accepting new patients | |
| Walgreen Louisiana Co Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438128000000",
"number": "1831574060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "183 CARR DR",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704585601",
"telephone_number": "504-812-4501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N MILITARY RD",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704614197",
"telephone_number": "985-645-0488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "MAEGAN",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-29",
"last_updated": "2015-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "PST.021120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Slidell, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.