Active NPI
Sean Matthew Johnston, PHARMD
- Pharmacist
- Orlando, FL
National Provider Identifier
1710460290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS50307
- Practice address
- 2400 Sand Lake Rd Ste 200
Orlando, FL 32809-9100 - Phone
- (407) 502-5899
- NPI assigned
- Sep 11, 2018
- 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 | PS50307 | FL | Primary |
Addresses
Primary practice location
2400 Sand Lake Rd Ste 200
Orlando, FL 32809-9100
Mailing address
2400 Sand Lake Rd Ste 200
Orlando, FL 32809-9100
Phone (407) 502-5899
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 |
|---|---|---|---|
| PS50307 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coassist Pharmacy, LLC | Current | Accepting new patients |
Locations
2400 Sand Lake Rd
Ste 200
Orlando, FL 32809
Phone (407) 502-5899
Organizations & group practices 1
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.
-
- Mail Order Pharmacy
- Orlando, FL
- NPI 1659053874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663027200000",
"number": "1710460290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 SAND LAKE RD STE 200",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328099100",
"telephone_number": "407-502-5899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 SAND LAKE RD STE 200",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328099100",
"telephone_number": "407-502-5899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "SEAN",
"middle_name": "MATTHEW",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-11",
"last_updated": "2022-09-13",
"certification_date": "2022-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS50307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
- Briannie Nicole Johnston, M.A., CCC-SLP
- Jarrod Christopher Johnston, PA-C
- Katelyn Johnston
- Luis Andres Johnston, COTA/L
- Matthew Alan Johnston, MD
- Tiffany Johnston, M.S., CF-SLP
- Dallas Joiner, M.D.
- Joint Regeneration and Rehabilitation Center LLC
- Joint Replacement Cin of Florida, LLC
- Joint Replacement Cin of Orlando LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.