Scott C. Johnson, PHARMD,

Primary specialty

PharmacistTaxonomy code 183500000X

License

P6540 Issued in ID

Practice address

1295 Parkway Dr
Blackfoot, ID 83221-1683

Phone

(208) 785-1311

NPI assigned

Apr 29, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367193600000",
    "number": "1104260595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 E 600 N",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832215772",
            "telephone_number": "208-604-4238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 PARKWAY DR",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832211683",
            "telephone_number": "208-785-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SCOTT",
        "middle_name": "C.",
        "credential": "PHARMD,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-29",
        "last_updated": "2013-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P6540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Robert Johnson, N.P.
• Carl Austin Johnson, MPT
• Jenilee Johnson, PHARMD
• Michael Lafayette Johnson, D.C.
• Pete Richar Johnson
• Cody E Jones, O.D.
• Larry Christian Jones, LMSW
• Shannon Jones, COTA/L
• Anita Kadikar, MD
• James Taylor Kelley, PHARMD

• Pharmacist in Blackfoot, ID
• Providers in Blackfoot, ID by specialty
• Pharmacist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; 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.