Richard Johnson, RPh, MBA
Pharmacist in Bridgeton, MO. Individual provider (NPI-1).
NPI number1508301565
StatusActive
Last updated in NPPESDec 30, 2016
Details
- NPI
- 1508301565
- Entity type
- Individual (NPI-1)
- Name
- Richard Johnson
- Credential
- RPh, MBA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 30, 2016
- Last updated
- Dec 30, 2016
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 | 040723 | MO | Yes |
Practice location
12266 Depaul DriveSuite 105
Bridgeton, MO 63044
Phone 314-344-7300 · Fax 314-344-6179
Mailing address
12266 Depaul DriveSuite 105
Bridgeton, MO 63044
Phone 314-344-7300 · Fax 314-344-6179
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All 65 Pharmacist providers in Bridgeton · All 1,440 providers in Bridgeton
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