Rick A. Johnson, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

8342 Issued in OR

Practice address

833 E Central Ave
PO Box X
Sutherlin, OR 97479-9607

Phone

(541) 459-0626

Fax

(866) 269-5778

NPI assigned

Feb 10, 2012

Last updated

Oct 9, 2012By the provider in NPPES

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

Other identifiers 1

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": "1328832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349740800000",
    "number": "1811260623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 E CENTRAL AVE",
            "address_2": "PO BOX X",
            "city": "SUTHERLIN",
            "state": "OR",
            "postal_code": "974799607",
            "telephone_number": "541-459-0626",
            "fax_number": "866-269-5778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 E CENTRAL AVE",
            "address_2": "PO BOX X",
            "city": "SUTHERLIN",
            "state": "OR",
            "postal_code": "974799607",
            "telephone_number": "541-459-0626",
            "fax_number": "866-269-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RICK",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-10",
        "last_updated": "2012-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "8342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACIST LICENSE",
            "identifier": "8342",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fred Luke Herscher, DO
• Dan Wakefield Hirtle, PT
• Hometown Drugs of Sutherlin, Inc. (Sutherlin Drug)
• J & I Black, Inc. (Sutherlin Drug)
• James J. Hein
• Deborah Ann Koopman, DNP, FNP
• Anna Kulacz-McNett, PA-C
• Taylor Kumm, RPH
• Heidi Y. Lee, MD
• Trisha K Loch, PA-C

• Pharmacist in Sutherlin, OR
• Providers in Sutherlin, OR by specialty
• Pharmacist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; 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.