Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Patrice Lanae Johnson, RPH, PMP

Individual provider Pharmacist · NPI 1497340236

Patrice Lanae Johnson, RPH, PMP is a Pharmacist in Crestwood, Illinois. Practices as a sole proprietor and works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2021
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

13601 Kenton Ave
Crestwood, IL 60418-1938
Phone: (708) 926-7270
Fax: (855) 793-8197
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9200 S Harding Ave, Evergreen Park, IL 60805-1439 — (708) 261-4980

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 051-039374 (IL)

Record details

NPI number1497340236
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPH , PMP
Sole proprietorYes
NPI enumeratedMarch 3, 2021
Last updated in NPPESMarch 3, 2021
Certification dateMarch 3, 2021

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