Active NPI
Michael W Johnson, PHARMD
- Pharmacist
- Spencerport, NY
National Provider Identifier
1659557064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051893
- Practice address
- 23 Slayton Ave
Spencerport, NY 14559-1427 - Phone
- (585) 352-4020
- Fax
- (585) 352-4385
- NPI assigned
- Jan 15, 2008
- 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 | 051893 | NY | Primary |
Addresses
Primary practice location
23 Slayton Ave
Spencerport, NY 14559-1427
Mailing address
23 Slayton Ave
Spencerport, NY 14559-1427
Phone (585) 352-4020
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 |
|---|---|---|---|
| 051893 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200355200000",
"number": "1659557064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 SLAYTON AVE",
"city": "SPENCERPORT",
"state": "NY",
"postal_code": "145591427",
"telephone_number": "585-352-4020",
"fax_number": "585-352-4385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 SLAYTON AVE",
"city": "SPENCERPORT",
"state": "NY",
"postal_code": "145591427",
"telephone_number": "585-352-4020",
"fax_number": "585-352-4385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "MICHAEL",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-15",
"last_updated": "2008-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "051893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spencerport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.