Individual provider Active NPI

Scott Stephen Johnk, PHARMD

  • Pharmacist
  • Plattsburg, MO
National Provider Identifier
1689390924
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
044856 Issued in MO
Practice address
400 W Clay Ave
Plattsburg, MO 64477-1424
Phone
(816) 539-2121
Fax
(816) 539-3823
NPI assigned
Oct 18, 2022
Last updated
Oct 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 044856 MO Primary

Addresses

Primary practice location

400 W Clay Ave
Plattsburg, MO 64477-1424

Mailing address

400 W Clay Ave
Plattsburg, MO 64477-1424
Phone (816) 539-2121

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

LicenseStateTypeSpecialty
044856MOMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1689390924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W CLAY AVE",
            "city": "PLATTSBURG",
            "state": "MO",
            "postal_code": "644771424",
            "telephone_number": "816-539-2121",
            "fax_number": "816-539-3823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W CLAY AVE",
            "city": "PLATTSBURG",
            "state": "MO",
            "postal_code": "644771424",
            "telephone_number": "816-539-2121",
            "fax_number": "816-539-3823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNK",
        "first_name": "SCOTT",
        "middle_name": "STEPHEN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "044856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburg, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.