Active NPI
Winston Allen Johnson, PHARM D.
- Pharmacist
- Craig, AK
National Provider Identifier
1467090845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 139982
- Practice address
- 333 Cold Storage Rd
Craig, AK 99921 - Phone
- (907) 826-5750
- Fax
- (907) 828-5752
- NPI assigned
- Dec 16, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 | 139982 | AK | Primary |
Addresses
Primary practice location
333 Cold Storage Rd
Craig, AK 99921
Mailing address
PO Box 394
Craig, AK 99921-0394
Phone (954) 850-2262
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 |
|---|---|---|---|
| 139982 | AK | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576454400000",
"number": "1467090845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 394",
"city": "CRAIG",
"state": "AK",
"postal_code": "999210394",
"telephone_number": "954-850-2262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 COLD STORAGE RD",
"city": "CRAIG",
"state": "AK",
"postal_code": "99921",
"telephone_number": "907-826-5750",
"fax_number": "907-828-5752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "WINSTON",
"middle_name": "ALLEN",
"credential": "PHARM D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-12-16",
"last_updated": "2019-12-16",
"certification_date": "2019-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AK",
"license": "139982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Craig, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.