Provider Demographics
NPI:1831462191
Name:JOHNSONSINGHBARNETT, AMANI PATRICE (PHARMD)
Entity Type:Individual
Prefix:
First Name:AMANI
Middle Name:PATRICE
Last Name:JOHNSONSINGHBARNETT
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:AMANI
Other - Middle Name:PATRICE
Other - Last Name:JOHNSON-SINGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:360 S YATES RD
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38120-2430
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3502 SUMMER AVE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38122-3628
Practice Address - Country:US
Practice Address - Phone:901-327-4483
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-17
Last Update Date:2012-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN12226183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist