Individual provider Active NPI

Monique Angella Johnson, PHARM.D.

  • Pharmacist
  • Falmouth, ME
National Provider Identifier
1952905218
Registry record updated Nov 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PR5746 Issued in ME
Practice address
65 Gray Rd
Falmouth, ME 04105-2057
Phone
(207) 878-0017
Fax
(207) 878-0010
NPI assigned
Nov 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PR5746 ME Primary

Addresses

Primary practice location

65 Gray Rd
Falmouth, ME 04105-2057

Mailing address

65 Gray Rd
Falmouth, ME 04105-2057
Phone (207) 878-0017

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PR5746MEMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hannaford Bros. Co., LLC PastSince Nov 29, 2020 Accepting new patients
Hannaford Bros Co LLC PastSince Nov 29, 2020 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": "1606435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606435200000",
    "number": "1952905218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 GRAY RD",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041052057",
            "telephone_number": "207-878-0017",
            "fax_number": "207-878-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 GRAY RD",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041052057",
            "telephone_number": "207-878-0017",
            "fax_number": "207-878-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MONIQUE",
        "middle_name": "ANGELLA",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-27",
        "last_updated": "2020-11-27",
        "certification_date": "2020-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ME",
            "license": "PR5746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falmouth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2020; 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.