Active NPI
Roy C Johnson
- Pharmacist
- Orange City, FL
National Provider Identifier
1780964437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS14000
- Practice address
- 897 Saxon Blvd
Orange City, FL 32763-8204 - Phone
- (386) 775-5336
- Fax
- (386) 775-8956
- NPI assigned
- Aug 26, 2011
- 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 | PS14000 | FL | Primary |
Addresses
Primary practice location
897 Saxon Blvd
Orange City, FL 32763-8204
Mailing address
897 Saxon Blvd
Orange City, FL 32763-8204
Phone (386) 775-5336
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 |
|---|---|---|---|
| PS14000 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314316800000",
"number": "1780964437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "897 SAXON BLVD",
"city": "ORANGE CITY",
"state": "FL",
"postal_code": "327638204",
"telephone_number": "386-775-5336",
"fax_number": "386-775-8956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "897 SAXON BLVD",
"city": "ORANGE CITY",
"state": "FL",
"postal_code": "327638204",
"telephone_number": "386-775-5336",
"fax_number": "386-775-8956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "ROY",
"middle_name": "C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-26",
"last_updated": "2011-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS14000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.