Latrisha Ann Johnson, CPHT

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

112497 Issued in TX

Practice address

3955 Phelan Blvd
Beaumont, TX 77707-2223

Phone

(409) 833-1298

Fax

(409) 833-1667

NPI assigned

Aug 27, 2019

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

Other identifiers 1

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 and National Provider Directory roles.

• Retail Investors of Texas, LTD.

  • Community/Retail Pharmacy
  • Beaumont, TX
  • NPI 1609937770
  NPD (past)

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1942858741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3955 PHELAN BLVD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072223",
            "telephone_number": "409-833-1298",
            "fax_number": "409-833-1667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3955 PHELAN BLVD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072223",
            "telephone_number": "409-833-1298",
            "fax_number": "409-833-1667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LATRISHA",
        "middle_name": "ANN",
        "credential": "CPHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "TX",
            "license": "112497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD REGISTRATION",
            "identifier": "112497",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deanna Johnson
• Debra Johnson
• Demeka Rashay Johnson
• Etoy Johnson
• Jamie Johnson
• Mark Alan Johnson, O.D.
• Raleigh Francis Johnson III, MD
• Sharae Johnson, M.D.
• Takayla Johnson
• Valerie Johnson, PA

• Pharmacy Technician in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Pharmacy Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.