Individual provider Active NPI

Jeff Johnson, PHARMD

  • Pharmacist
  • Salt Lake City, UT
National Provider Identifier
1184033771
Registry record updated Aug 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
6601439-1701 Issued in UT
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

Updated by the provider on Aug 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6601439-1701OtherUTUTAH 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

LicenseStateTypeSpecialty
6601439-1701UTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.