Individual provider Active NPI

Scott Alexander Johnston, RPH, CSP

  • Pharmacist
  • Dallas, TX
National Provider Identifier
1669074696
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
39516 Issued in TX
Practice address
9330 LBJ Fwy Ste 1300
Dallas, TX 75243-3436
Phone
(888) 777-5547
NPI assigned
Nov 13, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 39516 TX Primary

Addresses

Primary practice location

9330 LBJ Fwy Ste 1300
Dallas, TX 75243-3436

Mailing address

971 Noble Ave
Lantana, TX 76226-7348
Phone (214) 616-4371

Other practice location 1

3060 Fm 407
Highland Village, TX 75077-7047
Phone (972) 317-1947

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

LicenseStateTypeSpecialty
39516TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1669074696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "971 NOBLE AVE",
            "city": "LANTANA",
            "state": "TX",
            "postal_code": "762267348",
            "telephone_number": "214-616-4371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 LBJ FWY STE 1300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433436",
            "telephone_number": "888-777-5547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3060 Fm 407",
            "address_purpose": "LOCATION",
            "city": "Highland Village",
            "state": "TX",
            "postal_code": "750777047",
            "country_code": "US",
            "telephone_number": "972-317-1947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "SCOTT",
        "middle_name": "ALEXANDER",
        "credential": "RPH, CSP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-13",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "39516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.