Active NPI
Kenneth Allen Johnson, CPHT
- Pharmacy Technician
- Prescott Valley, AZ
National Provider Identifier
1720258627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- T014750
- Practice address
- 3345 N Windsong Dr
Prescott Valley, AZ 86314-2283 - Phone
- (928) 445-5211
- Fax
- (928) 771-4476
- NPI assigned
- Mar 6, 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | T014750 | AZ | Primary |
Addresses
Primary practice location
3345 N Windsong Dr
Prescott Valley, AZ 86314-2283
Mailing address
1055 Ruth St
Suite 6
Prescott, AZ 86301-1740
Phone (928) 445-5211
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T014750 | AZ | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204761600000",
"number": "1720258627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 RUTH ST",
"address_2": "SUITE 6",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863011740",
"telephone_number": "928-445-5211",
"fax_number": "928-776-8484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3345 N WINDSONG DR",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863142283",
"telephone_number": "928-445-5211",
"fax_number": "928-771-4476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "KENNETH",
"middle_name": "ALLEN",
"credential": "CPHT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-06",
"last_updated": "2008-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "AZ",
"license": "T014750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prescott Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.