Active NPI
Tara Lynn Johnson
- Pharmacist
- Clifton Park, NY
National Provider Identifier
1942523568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 050307
- Practice address
- 839 Route 146
Clifton Park, NY 12065-3861 - Phone
- (518) 371-3700
- NPI assigned
- Mar 10, 2010
- Last updated
- Mar 10, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 050307 | NY | Primary |
Addresses
Primary practice location
839 Route 146
Clifton Park, NY 12065-3861
Mailing address
839 Route 146
Clifton Park, NY 12065-3861
Phone (518) 371-3700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 050307 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Albany, L.L.C. | Past | Accepting new patients | |
| CVS Albany LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268179200000",
"number": "1942523568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "839 ROUTE 146",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120653861",
"telephone_number": "518-371-3700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "839 ROUTE 146",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120653861",
"telephone_number": "518-371-3700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "TARA",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-10",
"last_updated": "2010-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "050307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clifton Park, NY
- JH Counseling Services LCSW PLLC
- Jodi L. Carson Nurse Practitioner in Psychiatry (Tree of Life Total Wellness)
- John Graham DC PC
- Alexis Johnson
- Sunny Dale Johnson, PHARM.D
- Olivia Therese Jones, DPT
- Joseph Roberto DDS and Traci a. Roberto DDS, PLLC
- Caroline Marie Joy, PT, DPT
- Juldec (Sterling Optical 169)
- Julia Gross Family Health Nurse Practitioner, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.