Johnathan Philip Yockey, PHARM. D

Primary specialty

PharmacistTaxonomy code 183500000X

License

2019035643 Issued in MO

Practice address

1205 Sulphur Spring Rd
Ballwin, MO 63021-7497

Phone

(636) 230-7367

Fax

(636) 230-7486

NPI assigned

Aug 12, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Walgreen Co

  • Pharmacy
  • Ballwin, MO
  • NPI 1669489670
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1861003907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 SULPHUR SPRING RD",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630217497",
            "telephone_number": "636-230-7367",
            "fax_number": "636-230-7486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 SULPHUR SPRING RD",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630217497",
            "telephone_number": "636-230-7367",
            "fax_number": "636-230-7486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOCKEY",
        "first_name": "JOHNATHAN",
        "middle_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "PHARM. D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2019035643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wonderfully Made Pediatrics
• Shawn Kurt Woodard, D.C.
• Deanna Wright-Coffman, LCSW
• Melissa Wright, PLPC
• Carol A. Yeager, M.A.
• Alexandria Young, RBT
• Feruza Yurdanidze
• Barry J Yusman, DDS
• Mojdeh Zahedi, MD
• Amy Zambrano, LMT

• Pharmacist in Ballwin, MO
• Providers in Ballwin, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.