DR. LAQUITA L. JOHNSON (NPI# 1750898961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750898961 |
Entity Type | Individual |
Full Name | DR. LAQUITA L. JOHNSON |
Credential | PHARMD |
Practice Address |
102 Williams Street Hazlehurst MS 39083 |
Practice Telephone | 6016226165 |
Mailing Telephone | 6016226165 |
Enumeration Date | 2018-01-09 |
Last Update Date | 2018-01-09 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
0202216144 | VA | Pharmacy Service Providers |
Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
0202216144 | VA | Pharmacy Service Providers |
Street Address |
102 WILLIAMS STREET |
City | HAZLEHURST |
State | MS |
Zip Code | 39083 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235757949 | Claiborne Brooke White | Speech-Language Pathologist | 27190 Ms-28, Hazlehurst, MS 39083 | 2020-07-09 |
1134633324 | Enduracare Acute Care Services LLC | Clinic/Center | 236 North Caldwell Drive, Hazelhurst, MS 39083 | 2017-11-27 |
1053852392 | Alvin Dale Griffin | Occupational Therapy Assistant | 27190 Ms 28, Hazlehurst, MS 39083 | 2017-03-20 |
1770609364 | Gerri L Hill Chance | Psychiatry & Neurology | 206 Robert Mcdaniel Drive, Hazelhurst, MS 39083 | 2007-03-22 |
1902976665 | Allred's Pharmacy Inc | Pharmacy | 214 West Gallatin St, Hazelhurst, MS 39083 | 2006-11-09 |
1891897260 | Fred J Mcdonnell | Family Medicine | 213 Caldwell Drive, Hazlehurst, MS 39083 | 2006-09-05 |
1770515058 | Central Mississippi Civic Improvement Association | Clinic/Center | 550 Caldwell Drive, Hazlehurst, MS 39083 | 2006-07-07 |
1881649168 | Isd Renal Inc | Clinic/Center | 201 N Haley St, Hazlehurst, MS 39083 | 2006-05-24 |
1396793188 | Hazlehurst Vision Clinic | Optometrist | 247 North Caldwell Dr., Suite B, Hazlehurst, MS 39083 | 2006-05-04 |
1689776064 | John H Long | Family Medicine | 213 Caldwell Dr, Hazlehurst, MS 39083 | 2006-09-05 |
Find all providers in zip 39083 |
Taxonomy Code | 1835P2201X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Ambulatory Care |
A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568909893 | Robin Jackson | Pharmacist | 5060 Raymond Avenue, Tupelo, MS 38801-3880 | 2017-01-25 |
1659915817 | Samantha Odem | Pharmacist | 19640 Highway 67, Biloxi, MS 39532-8666 | 2019-10-31 |
1215406715 | Ha Phan | Pharmacist | 2500 N State St, Jackson, MS 39216-4500 | 2018-11-14 |
1114492725 | Kandis Vechelle Backus | Pharmacist | 350 W Woodrow Wilson Ave, Jackson, MS 39213-7681 | 2018-10-10 |
City | HAZLEHURST |
Zip Code | 39083 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.