Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1467576512 Deactivated / Inactive NPI Male Practitioner

Jim Johnson

Pharmacist • Gainesville, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jim Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 16, 2007
NPI Deactivation Date November 04, 2021
Total Practice Duration ~14 Years of Practice (2007 – 2021)

Professional Overview & Biography Verified Profile Summary

Jim Johnson was a registered Pharmacist practicing in Gainesville, GA. Throughout an active medical career spanning 14 years, Jim Johnson provided care at the practice location at 1079 JESSE JEWELL PKWY SW until profile deactivation on 2021-11-04.

Practice Location & Contact Primary Location

Practice Address

1079 Jesse Jewell Pkwy Sw

Gainesville, GA 305016103

Telephone 7705363108
Fax 7705362357
Associated Practice Facility / Clinic
🏢 Mimbs Drug Co. Facility NPI 1700863347

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Gainesville, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.0 Yrs
Regional Practice Density
96 Specialists

Practicing in Gainesville, GA (8508 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License GA 9506

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Natali Castillo , CPHT

Pharmacy Technician

NPI 1386787265

Certified Pharmacy Technician

NPI 1801911607

Pharmacist

Vicenta Turner

Pharmacy Technician

NPI 1811030711

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 04, 2021

Record deactivated on November 04, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1079 JESSE JEWELL PKWY SW, GAINESVILLE, GA 305016103 (Tel: 7705363108)

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Updated Business Mailing Address July 08, 2007

Registered at 5054 WHITES MILL DR, GAINESVILLE, GA 305048162 (Tel: 7705366029)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JIM JOHNSON

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pharmacist (License #9506 in GA)

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Initial NPI Registration & Enumeration March 16, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467576512
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 16, 2007
Last Update: July 08, 2007
Deactivation Date: November 04, 2021

Mailing Address

5054 Whites Mill Dr

Gainesville, GA 305048162

Phone: 7705366029

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.