Stacy Elizabeth Johnson, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH60275919 Issued in WA

Practice address

301 High School Rd NE
Bainbridge Island, WA 98110-1608

Phone

(206) 842-4065

Fax

(206) 780-2781

NPI assigned

Jul 24, 2012

Sex

Female

Sole proprietor

No

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": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343088000000",
    "number": "1265787576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 WINSLOW WAY E",
            "address_2": "APT #304",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102470",
            "telephone_number": "425-306-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HIGH SCHOOL RD NE",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981101608",
            "telephone_number": "206-842-4065",
            "fax_number": "206-780-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "STACY",
        "middle_name": "ELIZABETH",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-24",
        "last_updated": "2012-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60275919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Phyllis Jensen, CCC-SLP, MS
• Jiae Kwon DDS PLLC
• John D Estes MPT PLLC
• Kurt David Johns, PH.D.
• Ellen Maxine Johnson, M.S.
• Dennis O Johnston, C.R.N.A.
• Austyn Joines, PT
• Joiviva Primary Care, PLLC
• Carmen P Jones
• Jon Jones

• Pharmacist in Bainbridge Island, WA
• Providers in Bainbridge Island, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; 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.