Olivia Lauren Johnson, PHARMD

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

63645 Issued in TX

Practice address

2951 Matlock Rd
Mansfield, TX 76063-5020

Phone

(817) 453-5616

NPI assigned

Nov 21, 2018

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

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1542758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542758400000",
    "number": "1922577741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2951 MATLOCK RD",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635020",
            "telephone_number": "817-453-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2951 MATLOCK RD",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635020",
            "telephone_number": "817-453-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "OLIVIA",
        "middle_name": "LAUREN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-21",
        "last_updated": "2018-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "TX",
            "license": "63645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audria Johnson
• Bryce Johnson, PHARMD
• Chavonn M Johnson, LCSW-S, LCDC-I, CCM
• Jack Alston Johnson, MD
• Jeffrey W Johnson, FNP
• Richard Johnson, PH.D
• Tahisha Monique Johnson, LPC ASSOCIATE
• Matthew Johnston, PA-C
• Jojamoni Homehealth Care LLC
• Melvin T Joki, MD

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; 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.