Active NPI
Jeff Johnson, PHARMD
- Pharmacist
- Salt Lake City, UT
National Provider Identifier
1184033771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6601439-1701
- Practice address
- 3798 S 700 E
Suite #7
Salt Lake City, UT 84106-1150 - Phone
- (801) 506-6999
- NPI assigned
- Aug 7, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 6601439-1701 | UT | Primary |
Addresses
Primary practice location
3798 S 700 E
Suite #7
Salt Lake City, UT 84106-1150
Mailing address
356 S 1210 E
Pleasant Grove, UT 84062-3273
Phone (801) 867-8502
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6601439-1701 | Other | UT | UTAH DIVISION OF PROFESSIONAL LICENSING |
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 |
|---|---|---|---|
| 6601439-1701 | UT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meds in Motion | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pharmacy
- Salt Lake City, UT
- NPI 1164778510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407369600000",
"number": "1184033771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "356 S 1210 E",
"city": "PLEASANT GROVE",
"state": "UT",
"postal_code": "840623273",
"telephone_number": "801-867-8502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3798 S 700 E",
"address_2": "SUITE #7",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841061150",
"telephone_number": "801-506-6999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "JEFF",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-07",
"last_updated": "2014-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "6601439-1701",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UTAH DIVISION OF PROFESSIONAL LICENSING",
"identifier": "6601439-1701",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.