Gerald Ralph Johnson, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH00011249 Issued in WA

Practice address

1909 214TH St SE
Suite 300
Bothell, WA 98021-4412

Phone

(425) 412-6335

Fax

(425) 412-6339

NPI assigned

Feb 21, 2017

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

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1740729920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 214TH ST SE",
            "address_2": "SUITE 300",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980214412",
            "telephone_number": "425-412-6335",
            "fax_number": "425-412-6339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 214TH ST SE",
            "address_2": "SUITE 300",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980214412",
            "telephone_number": "425-412-6335",
            "fax_number": "425-412-6339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "GERALD",
        "middle_name": "RALPH",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-21",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00011249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittony Johnson, LMP
• Bruce Alan Johnson, DDS
• Bryan Johnson
• David Lynn Johnson, RPH
• Erin Dawn Johnson, M.S.P.A./CCC-SLP
• Katherine Grace Johnson, SLP
• Kyem William Johnson
• Matthew Emerson Johnson, HA61109811
• Sarah Johnson, O.T.
• Shawnti Johnson, MSW, LICSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.