Individual provider Active NPI

Brenda Sue Johnson, RPH

  • Pharmacist
  • Calabasas, CA
National Provider Identifier
1922095959
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
39264 Issued in CA
Practice address
22277 Mulholland Hwy
Calabasas, CA 91302-5156
Phone
(818) 223-8656
Fax
(818) 223-8750
NPI assigned
Oct 4, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 39264 CA Primary

Addresses

Primary practice location

22277 Mulholland Hwy
Calabasas, CA 91302-5156

Mailing address

22277 Mulholland Hwy
Calabasas, CA 91302-5156
Phone (818) 223-9475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081014000019 CA Practitioner - Mass Immunization Roster Biller 7416843024 Practice locations: Calabasas, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mizbes Inc CurrentSince Feb 1, 1996 Accepting new patients

Locations

22277 Mulholland Hwy
Calabasas, CA 91302
Phone (818) 223-8656

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1922095959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22277 MULHOLLAND HWY",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913025156",
            "telephone_number": "818-223-9475",
            "fax_number": "818-223-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22277 MULHOLLAND HWY",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913025156",
            "telephone_number": "818-223-8656",
            "fax_number": "818-223-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BRENDA",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-04",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "39264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calabasas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.