Robert Blake Johnson, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

PD12300 Issued in AR

Practice address

2425 Dave Ward Dr Ste 602
Conway, AR 72034-8685

Phone

(501) 336-8188

NPI assigned

Oct 21, 2020

Sex

Male

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

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Conway Apothecary Inc.

  • Community/Retail Pharmacy
  • Conway, AR
  • NPI 1043990617
  NPD
• Conway Apothecary Inc.

  • Long Term Care Pharmacy
  • Conway, AR
  • NPI 1982384566
  NPD

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1043819923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 CROSSPOINT RD",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720348422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 DAVE WARD DR STE 602",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720348685",
            "telephone_number": "501-336-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ROBERT",
        "middle_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD12300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "blake@smithfamilypharmacy.com",
            "affiliation": "N",
            "address_1": "1400 Crosspoint Rd",
            "city": "Conway",
            "state": "AR",
            "country_code": "US",
            "postal_code": "720348422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kayla Renee Johnson, APRN
• Kiaunna Johnson
• Leah Marie Ann Johnson
• Paula Johnson
• Rhonda Lashelle Johnson, LPC
• Sara Jean Johnson
• Sarah Johnson, PT, DPT
• Stephanie Nicole Johnson, CASE MANAGER
• Tanya Johnson, RECOVERY ASSISTANT
• Tara Johnson, RN

• Pharmacist in Conway, AR
• Providers in Conway, AR by specialty
• Pharmacist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.