Amy Johnson, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PD08439 Issued in AR

Practice address

2 Forest Park Dr Ste a
Holiday Island, AR 72631-9229

Phone

(479) 239-2121

Fax

(479) 232-2122

NPI assigned

Dec 21, 2019

Last updated

Dec 21, 2019By 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

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.

• Holiday Island Pharmacy, LLC

  dba Holiday Island Pharmacy

  • Community/Retail Pharmacy
  • Holiday Island, AR
  • NPI 1760025274
  NPD

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

{
    "created_epoch": "1576886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576886400000",
    "number": "1902445943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 FOREST PARK DR STE A",
            "city": "HOLIDAY ISLAND",
            "state": "AR",
            "postal_code": "726319229",
            "telephone_number": "479-239-2121",
            "fax_number": "479-232-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 FOREST PARK DR STE A",
            "city": "HOLIDAY ISLAND",
            "state": "AR",
            "postal_code": "726319229",
            "telephone_number": "479-239-2121",
            "fax_number": "479-232-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AMY",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-21",
        "last_updated": "2019-12-21",
        "certification_date": "2019-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD08439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daxton Harris
• Jamie Holden, PTA
• Holiday Island Operations, LLC (Green Acre Lodge of Holiday Island)
• Holiday Island Operations, LLC (Prestige Assisted Living)
• Holiday Island Pharmacy, LLC (Holiday Island Pharmacy)
• Kristin Jones, COTA
• Lindsey Jones, COTA
• Andy Langston, OD, PA
• Danyal Loftin, PTA
• Mercy Clinic Springfield Communities (Mercy Clinic-Holiday Island)

• Pharmacist in Holiday Island, AR
• Providers in Holiday Island, AR by specialty
• Pharmacist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.