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NPI Code Detail

MEDICARE: KIMBERLY JOHNSON PHARM.D

MEDICARE: KIMBERLY 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
1174H00000XHealth Educator
21835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistS024414AZ

General Provider Information

NPI Number : 1467980623
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY JOHNSON PHARM.D
Provider Business Mailing Address
First Line : 7930 W MEDLOCK DR
Second Line :
City : GLENDALE
State : AZ
Zip : 85303-5565
Country : US
Telephone Number : 623-846-1533
Fax Number : 623-846-6403
Provider Business Practice Location Address
First Line : 6601 W INDIAN SCHOOL RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85033-3339
Country : US
Telephone Number : 623-846-1533
Fax Number : 623-846-6403
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2017
Last Update Date : 05/09/2026

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Directions to “ KIMBERLY JOHNSON PHARM.D” Practice Location

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