Randy Gordon Johnson, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH00010990 Issued in WA

Practice address

34617 SE 56TH PL
Fall City, WA 98024-8806

Phone

(425) 246-9205

NPI assigned

Jan 9, 2006

Last updated

Jan 3, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388707200000",
    "number": "1972581957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34617 SE 56TH PL",
            "city": "FALL CITY",
            "state": "WA",
            "postal_code": "980248806",
            "telephone_number": "425-246-9205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34617 SE 56TH PL",
            "city": "FALL CITY",
            "state": "WA",
            "postal_code": "980248806",
            "telephone_number": "425-246-9205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RANDY",
        "middle_name": "GORDON",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2014-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00010990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eugene Wilbert Goertzen, M.D.
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• Pamela Anne Johnson, LMP
• King County Fire Prot Dist 27 (King County Fire District #27 - Fall City)
• Kathryn Larsson, MSW
• Genesis Latham
• Tory Lincoln, PH.D.
• Luna Healthcare, LLC (Luna Hearing Aid and Audiology Centers)

• Pharmacist in Fall City, WA
• Providers in Fall City, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; 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.