Individual provider Active NPI

Lesley Michelle Johnson, PHARMD

  • Pharmacist
  • Olathe, KS
National Provider Identifier
1790338200
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
1-109351 Issued in KS
Practice address
13600 S Blackbob Rd
Olathe, KS 66062-1934
Phone
(913) 782-2039
NPI assigned
Jul 23, 2019
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 1-109351 KS Primary

Addresses

Primary practice location

13600 S Blackbob Rd
Olathe, KS 66062-1934

Mailing address

5300 Speaker Rd
Kansas City, KS 66106-1050
Phone (913) 321-4223

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lesley.johnson@ballsfoods.com Four B Corp

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

LicenseStateTypeSpecialty
1-109351KSMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Four B Corp PastSince Jul 28, 2019 Accepting new patients
Four B Corp PastSince Jul 28, 2019 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1790338200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 SPEAKER RD",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661061050",
            "telephone_number": "913-321-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13600 S BLACKBOB RD",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621934",
            "telephone_number": "913-782-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LESLEY",
        "middle_name": "MICHELLE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-109351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lesley.johnson@ballsfoods.com",
            "affiliation": "Y",
            "endpointDescription": "Work Email",
            "affiliationName": "Four B Corp",
            "address_1": "13600 S Blackbob Rd",
            "city": "Olathe",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660621934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.