Samantha Jo Johnston

Primary specialty

PharmacistTaxonomy code 183500000X

License

19911 Issued in CO

Practice address

135 S Plum St
Fruita, CO 81521-2524

Phone

(970) 858-9508

NPI assigned

Jul 29, 2013

Sex

Female

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

Practice roles

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.

• Dillon Companies LLC

  • Community/Retail Pharmacy
  • Fruita, CO
  • NPI 1063448256
  NPD (past)
• Dillon Companies LLC

  • Community/Retail Pharmacy
  • Fountain, CO
  • NPI 1194524165
  NPD (past)

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

{
    "created_epoch": "1375056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1760824932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 COBBLESTONE CT",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812122083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 S PLUM ST",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815212524",
            "telephone_number": "970-858-9508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "SAMANTHA",
        "middle_name": "JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-29",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "19911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeana Smith Nursing Services
• Britt Jens, NP
• Jessica Stone, PHD
• John W Bull DDS
• Dawn Michelle Johnson, PT, DPT, CSCS
• K&T Clean Up
• Jennifer Lee Kimbrow, ATC, NREMT
• Anouk J Kincaid, PT
• Chad Benton Kincaid, C.P. , P.T.
• David P Kirch, MD

• All providers in Fruita, CO
• Pharmacist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.