Katie Johnstone, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PR27957 Issued in ME

Practice address

19 Idaho St
Portland, ME 04103-3817

Phone

(781) 298-1612

NPI assigned

Apr 7, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1023697919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 IDAHO ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041033817",
            "telephone_number": "781-298-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 IDAHO ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041033817",
            "telephone_number": "781-298-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTONE",
        "first_name": "KATIE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ME",
            "license": "PR27957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "AZOVA",
            "affiliation": "N",
            "address_1": "19 Idaho St",
            "city": "Portland",
            "state": "ME",
            "country_code": "US",
            "postal_code": "041033817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shaun Johnson, RN
• Douglas Johnston, MD
• Janice Johnston
• Rebekah Johnston
• Steven C Johnston, PT
• Logan Joldersma
• Renee Nicole Joles, LCPC
• Katherine Jolley, DO
• Jon Petruschke LLC
• Jonathan C Fellers MD PA LLC

• Pharmacist in Portland, ME
• Providers in Portland, ME by specialty
• Pharmacist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.