Robin Jeannette Johnson, PHARM.D.

Individual provider Active NPI Pharmacist · Ellsworth Afb, SD

NPI 1831163468 · NPPES record last updated Dec 23, 2015

Key facts

NPI
1831163468
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
11450 (NE)
Practice address
2900 Doolittle Dr
Ellsworth Afb, SD 57706-4821
Phone
(605) 385-3252
NPI assigned
Feb 13, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
11450NEMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 11450 NE Yes

Addresses

Primary practice location

2900 Doolittle Dr
Ellsworth Afb, SD 57706-4821

Mailing address

106 Red Cloud CT
Ellsworth Afb, SD 57706-1723
Phone (605) 923-1297

Other providers in Ellsworth Afb, SD

All providers in Ellsworth Afb, SD · Pharmacist in South Dakota

Sources for this page

Verify at the official NPI Registry.