Healthcare Provider Details

I. General information

NPI: 1497929988
Provider Name (Legal Business Name): EVELYN BARFIELD JOHNSON PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/16/2008
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6600 VAN AALST BLVD BLDG 9250
FORT BENNING GA
31905-2102
US

IV. Provider business mailing address

6600 VAN AALST BLVD BLDG 9250
FORT BENNING GA
31905-2102
US

V. Phone/Fax

Practice location:
  • Phone: 762-408-1557
  • Fax: 762-408-8237
Mailing address:
  • Phone: 762-408-1557
  • Fax: 762-408-8237

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number023871
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number023871
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: