Kevin Johnson, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

S014772 Issued in AZ

Practice address

542 E Hunt Hwy
Queen Creek, AZ 85143-5212

Phone

(480) 888-1781

Fax

(480) 888-1786

NPI assigned

Oct 6, 2009

Last updated

Oct 6, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Smiths Food & Drug Centers Inc

  dba Frys Food and Drug

  • Community/Retail Pharmacy
  • San Tan Valley, AZ
  • NPI 1497799704
  NPD (past)
• Smith's Food & Drug Centers Inc

  dba Smith's Pharmacy #303

  • Community/Retail Pharmacy
  • Henderson, NV
  • NPI 1881585248
  NPD (past)

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

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254787200000",
    "number": "1114252350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 E HUNT HWY",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851435212",
            "telephone_number": "480-888-1781",
            "fax_number": "480-888-1786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 E HUNT HWY",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851435212",
            "telephone_number": "480-888-1781",
            "fax_number": "480-888-1786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KEVIN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-06",
        "last_updated": "2009-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S014772",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051035038",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holli Johnson, OTR/L
• Jennifer Nicole Finney Johnson, BCBA, LBA
• Joseph A Johnson
• Joshua James Johnson, MD
• Kade Johnson
• Leanne Johnson
• Mark A Johnson, DDS
• Shavaun Johnson, NP
• Teresa Johnson, MS, LPC
• Nicole Johnston

• Pharmacist in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; 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.