Michael Johnson, RPH
Individual provider Active NPI Pharmacist · Mapleton, UT
NPI 1407327174 · NPPES record last updated Dec 6, 2018
Key facts
- NPI
- 1407327174
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 271638-1701 (UT)
- Practice address
- 724 S 1600 W
Mapleton, UT 84664-4347 - Phone
- (801) 515-6048
- NPI assigned
- Dec 6, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 271638-1701 | UT | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 271638-1701 | UT | Yes |
Addresses
Primary practice location
724 S 1600 W
Mapleton, UT 84664-4347
Mailing address
152 S 975 W
Mapleton, UT 84664-4331
Phone (801) 885-1147
Other providers in Mapleton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.