Dr. Richard Tyler Johnson, Pharm. D
Pharmacist in Burnsville, NC. Individual provider (NPI-1).
NPI number1376976936
StatusActive
Last updated in NPPESAug 17, 2013
Details
- NPI
- 1376976936
- Entity type
- Individual (NPI-1)
- Name
- Dr. Richard Tyler Johnson
- Credential
- Pharm. D
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 17, 2013
- Last updated
- Aug 17, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 22875 | NC | Yes |
Practice location
115 Reservoir RdBurnsville, NC 28714-3321
Phone 828-682-6171
Mailing address
115 Reservoir RdBurnsville, NC 28714-3321
Phone 828-682-6171
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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