Active NPI
Fredrick Lamar Johnson, PHARMD
- Pharmacist
- Walnut Creek, CA
National Provider Identifier
1710132501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 61283
- Practice address
- 1425 S Main St
Inpt. Pharmacy
Walnut Creek, CA 94596-5318 - Phone
- (925) 295-4655
- NPI assigned
- Nov 21, 2008
- Last updated
- Nov 21, 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 | 61283 | CA | Primary |
Addresses
Primary practice location
1425 S Main St
Inpt. Pharmacy
Walnut Creek, CA 94596-5318
Mailing address
PO Box 23041
Oakland, CA 94623-0041
Phone (510) 329-7529
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227225600000",
"number": "1710132501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23041",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946230041",
"telephone_number": "510-329-7529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 S MAIN ST",
"address_2": "INPT. PHARMACY",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945965318",
"telephone_number": "925-295-4655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "FREDRICK",
"middle_name": "LAMAR",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-21",
"last_updated": "2008-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "61283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.