Individual provider Active NPI

Cheryl Lynne Johnson

  • Pharmacist
  • Woodland Hills, CA
National Provider Identifier
1992936033
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
40315 Issued in CA
Practice address
19720 Ventura Blvd Ste 100
Woodland Hills, CA 91364-2609
Phone
(818) 912-6800
Fax
(818) 912-6989
NPI assigned
Aug 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 09434 NV
Pharmacist 183500000X 5302043909 MI
Pharmacist 183500000X 0202214832 VA
Pharmacist 183500000X 018189 KY
Pharmacist 183500000X 40315 CA Primary

Addresses

Primary practice location

19720 Ventura Blvd Ste 100
Woodland Hills, CA 91364-2609

Mailing address

19720 Ventura Blvd Ste 100
Woodland Hills, CA 91364-2609
Phone (818) 912-6800

Other practice location 1

13550 Paxton St
Pacoima, CA 91331-2352
Phone (818) 272-2709

Other names 1

  • Cheryl Lynne Johnson Former name

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

LicenseStateTypeSpecialty
018189KYMDPharmacist
5302043909MIMDPharmacist
09434NVMDPharmacist
0202214832VAMDPharmacist
40315CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Anla Managment Corp PastSince Jul 24, 2022 Accepting new patients

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": "1249516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1992936033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19720 VENTURA BLVD STE 100",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642609",
            "telephone_number": "818-912-6800",
            "fax_number": "818-912-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19720 VENTURA BLVD STE 100",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642609",
            "telephone_number": "818-912-6800",
            "fax_number": "818-912-6989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13550 Paxton St",
            "address_purpose": "LOCATION",
            "city": "Pacoima",
            "state": "CA",
            "postal_code": "913312352",
            "country_code": "US",
            "telephone_number": "818-272-2709",
            "fax_number": "818-272-2706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHERYL",
        "middle_name": "LYNNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "09434",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302043909",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202214832",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "018189",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "40315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERYL",
            "last_name": "JOHNSON",
            "middle_name": "LYNNE",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.