Active NPI
Johnny Lin Zhou
- Pharmacist
- Big Bear Lake, CA
National Provider Identifier
1801452636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 78557
- Practice address
- 42107 Big Bear Blvd
Big Bear Lake, CA 92315-1530 - Phone
- (909) 866-1076
- NPI assigned
- May 16, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 | 78557 | CA | Primary |
Addresses
Primary practice location
42107 Big Bear Blvd
Big Bear Lake, CA 92315-1530
Mailing address
42107 Big Bear Blvd
Big Bear Lake, CA 92315-1530
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | store10420@walgreens.com |
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 |
|---|---|---|---|
| 78557 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557964800000",
"number": "1801452636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42107 BIG BEAR BLVD",
"city": "BIG BEAR LAKE",
"state": "CA",
"postal_code": "923151530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42107 BIG BEAR BLVD",
"city": "BIG BEAR LAKE",
"state": "CA",
"postal_code": "923151530",
"telephone_number": "909-866-1076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZHOU",
"first_name": "JOHNNY",
"middle_name": "LIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-16",
"last_updated": "2019-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "78557",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "store10420@walgreens.com",
"affiliation": "N",
"address_1": "42107 Big Bear Blvd",
"city": "Big Bear Lake",
"state": "CA",
"country_code": "US",
"postal_code": "923151530",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Big Bear Lake, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.