Active NPI
Douglas Lee Johnston, PHARM.D.
- Pharmacist
- Houston, TX
National Provider Identifier
1043387103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17051
- Practice address
- 1330 Enclave Pkwy
Houston, TX 77077-2025 - Phone
- (800) 222-2005
- Fax
- (209) 533-9489
- NPI assigned
- Nov 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 30420 | CA | |
| Pharmacist | 183500000X | PH00060969 | WA | |
| Pharmacist | 183500000X | 16583 | NV | |
| Pharmacist | 183500000X | 17051 | CO | Primary |
Addresses
Primary practice location
1330 Enclave Pkwy
Houston, TX 77077-2025
Mailing address
15204 Victory Way
Sonora, CA 95370-8876
Phone (209) 532-8326
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30420 | CA | MD | Dentist |
| 17051 | CO | MD | Pharmacist |
| 16583 | NV | MD | Pharmacist |
| PH00060969 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1043387103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15204 VICTORY WAY",
"city": "SONORA",
"state": "CA",
"postal_code": "953708876",
"telephone_number": "209-532-8326",
"fax_number": "209-533-9489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 ENCLAVE PKWY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770772025",
"telephone_number": "800-222-2005",
"fax_number": "209-533-9489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "DOUGLAS",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "30420",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00060969",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "16583",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "17051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.