Joshua Otis Johnson, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

119471 Issued in MN

Practice address

3400 Yankee Dr
Eagan, MN 55121-1627

Phone

(651) 662-7418

NPI assigned

Nov 3, 2011

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": "1320278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1174800262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13963 BLUEBIRD ST NW",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553044052",
            "telephone_number": "763-331-2139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 YANKEE DR",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551211627",
            "telephone_number": "651-662-7418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JOSHUA",
        "middle_name": "OTIS",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-03",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "119471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garret Donald Johnson, PHARM D
• Jean Elizabeth Johnson, PSYD
• Jennifer Sue Johnson, MA, LPCC
• Jeremiah David Johnson, M.D.
• Jerilyn Ann Johnson, PT
• Joy Lynn Johnson, NP
• Kirsten Marie Johnson, DDS
• Lindsey Kaye Johnson, LMFT
• Lyndall Johnson, MA LP
• Mariah Kelley Johnson

• Pharmacist in Eagan, MN
• Providers in Eagan, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; 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.