Kaila Nicole Johnson, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH034604 Issued in GA

Practice address

13775 US 19 S
Thomasville, GA 31792-5398

Phone

(229) 226-9800

NPI assigned

Oct 26, 2023

Last updated

Oct 26, 2023By 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.

• Publix Super Markets Inc

  dba Publix Pharmacy #1540

  • Community/Retail Pharmacy
  • Moultrie, GA
  • NPI 1508313164
  NPD (past)
• Publix Super Markets Inc

  dba Publix Pharmacy #0430

  • Community/Retail Pharmacy
  • Valdosta, GA
  • NPI 1760421531
  NPD (past)
• Publix Super Markets Inc

  dba Publix Pharmacy #2107

  • Community/Retail Pharmacy
  • Winter Haven, FL
  • NPI 1760356380
  NPD (past)

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1841062437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 RIGGINS RD APT 438",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323082218",
            "telephone_number": "954-600-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13775 US 19 S",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925398",
            "telephone_number": "229-226-9800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "378 Veterans Pkwy N",
            "address_purpose": "LOCATION",
            "city": "Moultrie",
            "state": "GA",
            "postal_code": "317884171",
            "country_code": "US",
            "telephone_number": "229-217-4816",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2715 Dawson Rd",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "GA",
            "postal_code": "317071673",
            "country_code": "US",
            "telephone_number": "229-431-2880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "620 Virginia Ave N",
            "address_purpose": "LOCATION",
            "city": "Tifton",
            "state": "GA",
            "postal_code": "317944227",
            "country_code": "US",
            "telephone_number": "229-386-1166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1741 Gornto Rd",
            "address_purpose": "LOCATION",
            "city": "Valdosta",
            "state": "GA",
            "postal_code": "316018408",
            "country_code": "US",
            "telephone_number": "229-333-2582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KAILA",
        "middle_name": "NICOLE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH034604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John D. Archbold Memorial Hospital, Inc. (John D. Archbold Memorial Hospital - vRadTN)
• John D. Archbold Memorial Hospital, Inc. (Thomas Primary Care Clinic)
• John L. Taylor, Jr., M.D., PA (Plantation Gynecology)
• Frederick Dwayne Johnson Jr., M.D.
• Jerry Steven Johnson, M.D.
• Marlin S Johnson, D.M.D.
• Michael Johnson, PT, DPT
• Quinetta L Johnson, MS
• Sarah Ardanuy Johnson, L.D.
• Stacey W Johnson, MD

• Pharmacist in Thomasville, GA
• Providers in Thomasville, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.