Active NPI
Blake Johnson, RPH
- Pharmacist
- Hillsboro, OR
National Provider Identifier
1609579168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH-0019356
- Practice address
- 8979 NE Tennyson St Apt 316
Hillsboro, OR 97006-2927 - Phone
- (760) 672-9986
- NPI assigned
- Mar 23, 2023
- 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 | RPH-0019356 | OR | Primary |
Addresses
Primary practice location
8979 NE Tennyson St Apt 316
Hillsboro, OR 97006-2927
Mailing address
8979 NE Tennyson St Apt 316
Hillsboro, OR 97006-2927
Phone (760) 672-9986
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 |
|---|---|---|---|
| RPH-0019356 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679529600000",
"number": "1609579168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8979 NE TENNYSON ST APT 316",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "970062927",
"telephone_number": "760-672-9986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8979 NE TENNYSON ST APT 316",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "970062927",
"telephone_number": "760-672-9986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "BLAKE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-23",
"last_updated": "2023-03-23",
"certification_date": "2023-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0019356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.