Active NPI
Sunny Dale Johnson, PHARM.D
- Pharmacist
- Clifton Park, NY
National Provider Identifier
1184924821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 054705
- Practice address
- 1028 Route 146
Clifton Park, NY 12065-3679 - Phone
- (518) 371-6155
- NPI assigned
- Oct 28, 2010
- Last updated
- Oct 28, 2010
- Sex
- Female
- 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 | 054705 | NY | Primary |
Addresses
Primary practice location
1028 Route 146
Clifton Park, NY 12065-3679
Mailing address
45 Hollandale LN
Apt M
Clifton Park, NY 12065-8212
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 |
|---|---|---|---|
| 054705 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288224000000",
"number": "1184924821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 HOLLANDALE LN",
"address_2": "APT M",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120658212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1028 ROUTE 146",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120653679",
"telephone_number": "518-371-6155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "SUNNY",
"middle_name": "DALE",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-28",
"last_updated": "2010-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "054705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clifton Park, NY
- Kimyah M Jean-Charles, LMHC
- JH Counseling Services LCSW PLLC
- Jodi L. Carson Nurse Practitioner in Psychiatry (Tree of Life Total Wellness)
- John Graham DC PC
- Alexis Johnson
- Tara Lynn Johnson
- Olivia Therese Jones, DPT
- Joseph Roberto DDS and Traci a. Roberto DDS, PLLC
- Caroline Marie Joy, PT, DPT
- Juldec (Sterling Optical 169)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.