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Kimberly Shanelle Johnson , RPH

Pharmacist β€’ Jacksonville, FL

Active NPI 1013299320 Individual Practitioner Female Practitioner
Practice location in NPPES

5108 Norwood Ave
Jacksonville, FL 322085032

Call 9047684491 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

5108 Norwood Ave

Jacksonville, FL 322085032

Telephone 9047684491
Fax 9047644706
Organization at the Same NPPES Address or Phone
Walgreen Co Facility NPI 1144235490

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2011

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Jacksonville and Florida

1,033 active clinicians are listed under Pharmacist with a practice address in Jacksonville, FL (19,430 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jacksonville

0% of these 1,033 clinicians have the CMS telehealth indicator.

0% of these 1,033 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-12-24
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

License # reported to NPPES FL PS0029492

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
NPI 1477834885

Pharmacist, D, Registered Pharmacist

NPI 1093450637

Doctor of Pharmacy (Pharm.D.)

NPI 1346521846

Registered Pharmacist

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location December 24, 2022

Registered at 5108 NORWOOD AVE, JACKSONVILLE, FL 322085032 (Tel: 9047684491)

πŸ“
Updated Business Mailing Address December 24, 2022

Registered at 5108 NORWOOD AVE, JACKSONVILLE, FL 322085032 (Tel: 9047684491)

βœ…
NPI Profile Active September 13, 2011

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 13, 2011

Registered at 866 DUNN AVE, JACKSONVILLE, FL 322184803 (Tel: 9047513530)

πŸ“
Business Mailing Address (Initial Record) September 13, 2011

Registered at 866 DUNN AVE, JACKSONVILLE, FL 322184803 (Tel: 9047513530)

πŸ‘€
Provider Name / Credentials (Initial Record) September 13, 2011

Recorded as KIMBERLY JOHNSON, RPH

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2011

Pharmacist (license number reported to NPPES: FL PS0029492)

🟒
Initial NPI Registration & Enumeration September 13, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1013299320
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 13, 2011
Last Update: December 24, 2022
Sole Proprietor: No

Other Pharmacists in Jacksonville

All Pharmacists in Jacksonville

Mailing Address

5108 Norwood Ave

Jacksonville, FL 322085032

Phone: 9047684491

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.