Active NPI
Aaron Jahmal Johnson, PHARM D.
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Wewoka, OK
National Provider Identifier
1942737101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 0202205912
- Practice address
- 36640 Hwy 270 and Barking Water Road
Wewoka, OK 74884 - Phone
- (405) 257-7510
- Fax
- (405) 257-3344
- NPI assigned
- May 18, 2017
- Sex
- Male
- Sole proprietor
- No
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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 0202205912 | VA | Primary |
Addresses
Primary practice location
36640 Hwy 270 and Barking Water Road
Wewoka, OK 74884
Mailing address
36640 Hwy 270 and Barking Water
Wewoka, OK 74884
Phone (405) 257-7510
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0202205912 | VA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495065600000",
"number": "1942737101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36640 HWY 270 AND BARKING WATER",
"city": "WEWOKA",
"state": "OK",
"postal_code": "74884",
"telephone_number": "405-257-7510",
"fax_number": "405-257-3344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36640 HWY 270 AND BARKING WATER ROAD",
"city": "WEWOKA",
"state": "OK",
"postal_code": "74884",
"telephone_number": "405-257-7510",
"fax_number": "405-257-3344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "AARON",
"middle_name": "JAHMAL",
"credential": "PHARM D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-18",
"last_updated": "2017-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "VA",
"license": "0202205912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wewoka, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.