Stephen Charles Johnson, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

16489 Issued in CO

Practice address

654 Grey Eagle Cir S
Colorado Springs, CO 80919-1612

Phone

(719) 380-5450

NPI assigned

Nov 29, 2006

Sex

Male

Sole proprietor

Yes

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

Registered Pharmacist

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538236237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 GREY EAGLE CIR S",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809191612",
            "telephone_number": "719-380-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 GREY EAGLE CIR S",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809191612",
            "telephone_number": "719-380-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "STEPHEN",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "16489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Lee Johnson, BCBA
• Sara C Johnson, O.D.
• Scott A Johnson, DMD, MS
• Stanley Mark Johnson, M.D.
• Stanley Robin Johnson, PA
• Tanya Rae Johnson, OA
• Thomas Henry Johnson Jr., RBT
• Tiffany Noel Johnson, DC
• Tyrone D Johnson, D.C.
• Warren Kay Johnson, D.D.S., M.S.

• Pharmacist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Pharmacist in Colorado

• 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.

Verify at the official NPI Registry.