Active NPI
Jason D Johnson, PHARM D
- Pharmacist
- Richland, WA
National Provider Identifier
1396830618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00041691
- Practice address
- 800 Swift Blvd
Suite 160
Richland, WA 99352 - Phone
- (509) 943-9121
- Fax
- (509) 946-9356
- NPI assigned
- Oct 3, 2006
- 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 | PH00041691 | WA | Primary |
Addresses
Primary practice location
800 Swift Blvd
Suite 160
Richland, WA 99352
Mailing address
100720 E. Brandon Dr
Kennewick, WA 99338
Phone (509) 947-2228
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 |
|---|---|---|---|
| PH00041691 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396830618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100720 E. BRANDON DR",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "99338",
"telephone_number": "509-947-2228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 SWIFT BLVD",
"address_2": "SUITE 160",
"city": "RICHLAND",
"state": "WA",
"postal_code": "99352",
"telephone_number": "509-943-9121",
"fax_number": "509-946-9356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "JASON",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00041691",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.