Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104260595 Individual Practitioner Male Practitioner

Dr. Scott C. Johnson , PharmD

Pharmacist • Blackfoot, ID

Professional Overview & Biography Verified Profile Summary

Dr. Scott Johnson, PharmD is a registered healthcare professional specializing in Pharmacist in Blackfoot, ID. Practice services are available at 1295 PARKWAY DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1295 Parkway Dr

Blackfoot, ID 832211683

Telephone 2087851311
Associated Practice Facility / Clinic
🏢 Ridleys Family Markets Inc Facility NPI 1679609077

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Blackfoot, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
25 Specialists

Practicing in Blackfoot, ID (1793 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License ID P6540

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1033966254

Pharmacist

NPI 1366038226

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 29, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location April 29, 2013

Registered at 1295 PARKWAY DR, BLACKFOOT, ID 832211683 (Tel: 2087851311)

📍
Updated Business Mailing Address April 29, 2013

Registered at 129 E 600 N, BLACKFOOT, ID 832215772 (Tel: 2086044238)

👤
Provider Name / Credentials Updated April 29, 2013

Recorded as SCOTT JOHNSON, PHARMD,

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 29, 2013

Pharmacist (License #P6540 in ID)

🟢
Initial NPI Registration & Enumeration April 29, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104260595
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 29, 2013
Last Update: April 29, 2013
Sole Proprietor: Yes

Mailing Address

129 E 600 N

Blackfoot, ID 832215772

Phone: 2086044238

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.