MEDICARE: DR. DENISE JOHNSON PHARM.D

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	183500000X	Pharmacist	26021168A	IN

General Provider Information

NPI Number	:	1093131989
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DENISE JOHNSON PHARM.D

Provider Business Mailing Address
First Line	:	9202 E. 56TH STREET
Second Line	:
City	:	BROWNSBURG
State	:	IN
Zip	:	46112
Country	:	US
Telephone Number	:	463-348-6810
Fax Number	:

Provider Business Practice Location Address
First Line	:	9202 E. 56TH STREET
Second Line	:
City	:	BROWNSBURG
State	:	IN
Zip	:	46112
Country	:	US
Telephone Number	:	463-348-9610
Fax Number	:

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

Provider Enumeration Date	:	03/15/2014
Last Update Date	:	05/18/2026

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