MEDICARE: WENDY JOHNSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835X0200X	Oncology Pharmacist	PS46763	FL

General Provider Information

NPI Number	:	1063368967
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WENDY JOHNSON

Provider Business Mailing Address
First Line	:	13517 SW 142ND TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33186-8316
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1425 NW 10TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33136-1024
Country	:	US
Telephone Number	:	305-243-0081
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2026
Last Update Date	:	03/05/2026

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Directions to “ WENDY JOHNSON ” Practice Location

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