Nathan Mark Johnson, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH60668818 Issued in WA

Practice address

364 Triangle Shopping Ctr
Longview, WA 98632-4651

Phone

(360) 423-4833

NPI assigned

Oct 17, 2016

Sex

Male

Sole proprietor

No

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

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Thrifty Payless Inc

  • Community/Retail Pharmacy
  • Longview, WA
  • NPI 1760498075
  NPD (past)

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1669923470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2847 DOUGLAS ST",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986321850",
            "telephone_number": "360-560-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 TRIANGLE SHOPPING CTR",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986324651",
            "telephone_number": "360-423-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "NATHAN",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60668818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Johnson, PHYSICIAN ASSISTANT
• Maureen Johnson
• Misty Dawn Johnson, LMP
• Nancy Johnson, MSCCCSLP
• Nasanya Johnson
• Nicole Renee Johnson
• Pyper Johnson
• Rachel L Johnson, SUDPT
• Reid Johnson, CCC-SLP
• Shirley Mae Johnson, P.T.

• Pharmacist in Longview, WA
• Providers in Longview, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.