Active NPI
Robert F Johnson, RPH
- Pharmacist
- Kissimmee, FL
National Provider Identifier
1457430316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS28897
- Practice address
- 2701 Michigan Ave
Suite B
Kissimmee, FL 34744-1214 - Phone
- (407) 343-1230
- Fax
- (407) 343-1238
- NPI assigned
- Nov 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 | PS28897 | FL | Primary |
Addresses
Primary practice location
2701 Michigan Ave
Suite B
Kissimmee, FL 34744-1214
Mailing address
4943 Keaton Crest Dr
Orlando, FL 32837-4938
Phone (407) 888-9246
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS28897 | Other | FL | PHARMACIST LICENSE |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS28897 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457430316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4943 KEATON CREST DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328374938",
"telephone_number": "407-888-9246",
"fax_number": "407-343-1238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 MICHIGAN AVE",
"address_2": "SUITE B",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347441214",
"telephone_number": "407-343-1230",
"fax_number": "407-343-1238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "ROBERT",
"middle_name": "F",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS28897",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "PS28897",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
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.