MEDICARE: DR. JAMES ANDREW JOHNSON PHARMD

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	0000040418	TN

General Provider Information

NPI Number	:	1902315849
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES ANDREW JOHNSON PHARMD

Provider Business Mailing Address
First Line	:	2856 HICKORY HILL RD
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38115-2173
Country	:	US
Telephone Number	:	901-362-3633
Fax Number	:

Provider Business Practice Location Address
First Line	:	2856 HICKORY HILL RD
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38115-2173
Country	:	US
Telephone Number	:	901-362-3633
Fax Number	:

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

Provider Enumeration Date	:	09/22/2017
Last Update Date	:	07/21/2022

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