KIMBERLY JOHNSON (NPI# 1467980623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467980623 |
| Entity Type | Individual |
| Full Name | KIMBERLY JOHNSON |
| Credential | PHARM.D |
| Practice Address |
800 Glenwood Ave Se Atlanta GA 30316-1814 |
| Mailing Address |
1106 Lincoln Court Ave Ne Brookhaven GA 30329-1823 |
| Practice Telephone | 4704475040 |
| Mailing Telephone | 6236288539 |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2020-02-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 390200000X | Student in an Organized Health Care Education/Training Program | PHI-020772 | GA | Student, Health Care |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | I012650 | AZ | Student, Health Care |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RPH031680 | GA | Pharmacy Service Providers |
| N | 174H00000X | Health Educator | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1311 E Bell Rd, Phoenix, AZ 850222724 | 6025945035 | |
| 3001 Mercer University Dr, Atlanta, GA 303414155 | 6785476382 | |
| 800 Glenwood Ave Se, Atlanta, GA 303161814 | 4704475040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619020 | Kimberly Little Johnson | Physical Therapy Assistant | 7913 Red Globe Ct, Severn, MD 21144-1047 | 2020-11-05 |
| 1770198657 | Kimberly Ann Johnson | Technician | 171 Teal Rd, Martinsburg, WV 25405-8946 | 2020-09-09 |
| 1255940698 | Kimberly Renee Johnson | Clinical Exercise Physiologist | 5645 Danvers Rd, Portsmouth, VA 23703-3730 | 2020-07-30 |
| 1932722014 | Kimberly Lashonda Johnson | Counselor | 2018 James Overlook Dr, Chester, VA 23836-2851 | 2020-05-22 |
| 1164051850 | Kimberly L Johnson | Home Health | 14055 46th Street North Suite 1102, Clearwater, FL 33762 | 2020-04-03 |
| 1255965596 | Kimberly Ann Johnson | Occupational Therapy Assistant | 16512 Honeybunch Ln Se, Oldtown, MD 21555-1325 | 2020-02-25 |
| 1043788706 | Kimberly Johnson | Occupational Therapist | 8870 Youree Dr Ste 108, Shreveport, LA 71115-2512 | 2018-11-10 |
| 1750866992 | Kimberly Johnson | Driver | 3030 Marcia Louise Dr, Southaven, MS 38672-6750 | 2018-10-02 |
| 1801399928 | Kimberly Johnson | Chiropractor | 487 N Turnpike Rd, Santa Barbara, CA 93111-1955 | 2018-03-15 |
| 1598280984 | Kimberly Sue Johnson | Nurse Practitioner | 1201 7th St Se Ste 120, Decatur, AL 35601-3337 | 2017-08-07 |
| Street Address |
800 GLENWOOD AVE SE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30316-1814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043673650 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 800 Glenwood Ave Se, Atlanta, GA 30316 | 2016-03-31 |
| 1295358356 | Richard Andrew Blake | Pharmacist | 800 Glenwood Ave Se, Atlanta, GA 30316-1814 | 2020-05-24 |
| 1679192843 | Eunice Wang | Pharmacist | 800 Glenwood Ave Se, Atlanta, GA 30316-1814 | 2020-04-08 |
| 1235762477 | Jill Gilbert | Pharmacist | 800 Glenwood Ave Se, Atlanta, GA 30316-1814 | 2020-02-17 |
| 1497308506 | Tsitsi Muhoma | Nurse Practitioner | 800 Glenwood Ave Se, Atlanta, GA 30316-1814 | 2019-07-17 |
| 1679133771 | Sharde' Parkman | Nurse Practitioner | 800 Glenwood Ave Se, Atlanta, GA 30316-1814 | 2019-06-19 |
| 1205385119 | Tlc of Georgia LLC | Nurse Practitioner | 800 Glenwood Ave Se, Atlanta, GA 30316-1814 | 2016-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073156923 | Rakiya Williams | Counselor | 1030 Fayetteville Rd., Atlanta, GA 30316 | 2019-10-23 |
| 1215585815 | Madison Victoria Baugh | Counselor | Chris180, 1030 Fayetteville Rd, Atlanta, GA 30316 | 2019-08-28 |
| 1265089460 | Josee Dominque Muldrew | Counselor | 1030 Fayetteville Rd. Se, Atlanta, GA 30316 | 2019-08-22 |
| 1255984241 | Monique Overstreet | Counselor | 1030 Fayetteville Road, Atlanta, GA 30316 | 2019-07-19 |
| 1023573979 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 905 Memorial Drive Se, Atlanta-fulton, GA 30316 | 2019-02-05 |
| 1740726454 | Jimmy Brian Sambula | Behavior Technician | 1017 Fayetteville Rd. Se, Atlanta, GA 30316 | 2017-01-19 |
| 1033665039 | Liberty Group Senior Services | Clinic/Center | 1879 Glenwood Avenue, Atlanta, GA 30316 | 2016-08-30 |
| 1992143382 | Ayodele Osasona | Surgery | 2004 Oak Terrace Dr Se, Atlanta, GA 30316 | 2013-06-07 |
| 1891945721 | Denise Renee Cagle | Social Worker | 1471 Town Country Dr Se, Atlanta, GA 30316 | 2008-09-28 |
| 1235172388 | Bethanne Jenks | Pediatrics | 2006 Hosea Williams Dr, Atlanta, GA 30316 | 2006-06-14 |
| Find all providers in zip 30316 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346871795 | Marcus Javon Cuffie | Pharmacist | 3559 Chamblee Tucker Rd, Atlanta, GA 30341-4409 | 2020-02-03 |
| 1417587775 | Ngoc Nhi T Che | Pharmacist | 725 Ponce De Leon Ave Ne Ste 100, Atlanta, GA 30306-4300 | 2020-01-24 |
| 1609406461 | Esete Getachew-smith | Pharmacist | 725 Ponce De Leon Ave Ne # 100, Atlanta, GA 30306-4300 | 2020-01-21 |
| 1245870468 | Chinyere Muoka | Pharmacist | 589 Cascade Ave Sw, Atlanta, GA 30310-2407 | 2020-01-15 |
| 1265900419 | Katharine Renee Shaw | Pharmacist | 2232 Addison Pl Nw, Atlanta, GA 30318-3522 | 2018-11-06 |
| 1356828313 | Shin Lee Ly | Pharmacist | 608 Ralph Mcgill Blvd Ne Unit 533, Atlanta, GA 30312-1537 | 2018-07-23 |
| 1326559477 | Shirin Faridian Zadeh | Pharmacist | 560 Tahoma Dr, Atlanta, GA 30350-4000 | 2017-10-17 |
| 1053728279 | Katherine Pleasants | Pharmacist | 701 Highland Ave Ne Apt 2207, Atlanta, GA 30312-1488 | 2014-07-21 |
| 1710268867 | Suzanne Patricia Booth | Pharmacist | 3495 Piedmont Rd. Ne, Bulding 9 Clinical Affairs, Atlanta, GA 30305-1736 | 2011-09-02 |
| 1407136252 | Christine Elizabeth Lord | Pharmacist | 3495 Piedmont Road, Ne, Atlanta, GA 30305-1736 | 2011-08-25 |
| Find all providers in ATLANTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.