Andrea Lee Johnson

Primary specialty

PharmacistTaxonomy code 183500000X

License

PR4839 Issued in ME

Practice address

190 JFK PLZ
Waterville, ME 04901-5015

Phone

(207) 872-2182

Fax

(207) 877-7568

NPI assigned

Nov 15, 2020

Last updated

Nov 15, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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.

• Hannaford Bros Co LLC

  dba Hannaford Supermarket & Pharmacy

  • Community/Retail Pharmacy
  • Waterville, ME
  • NPI 1740398130
  NPD (past)
• Hannaford Bros. Co., LLC

  dba Hannaford Supermarket & Pharmacy

  • Community/Retail Pharmacy
  • Scarborough, ME
  • NPI 1861175622
  NPD (past)

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

{
    "created_epoch": "1605398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605398400000",
    "number": "1881296762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 JFK PLZ",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015015",
            "telephone_number": "207-872-2182",
            "fax_number": "207-877-7568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 JFK PLZ",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015015",
            "telephone_number": "207-872-2182",
            "fax_number": "207-877-7568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANDREA",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-15",
        "last_updated": "2020-11-15",
        "certification_date": "2020-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ME",
            "license": "PR4839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanette Ross
• Carolann Marie Jenkins, MS OT R/L
• Jeremy Stewart
• Andrea Jergesen
• John W. Hall, MD, LLC
• Eric Dean Johnson, PHARMD
• Michele Jolicoeur
• Michelle Renee Jolicoeur, LCSW
• Carol L Jollotta, LCSW
• Jaimie Ann Jollotta, RDH

• Pharmacist in Waterville, ME
• Providers in Waterville, ME by specialty
• Pharmacist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.

Verify at the official NPI Registry.