Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124322110 Individual Practitioner Male Practitioner

Michael Robert Johnson , RPH

Pharmacist • Lake Station, IN

Professional Overview & Biography Verified Profile Summary

Michael Johnson, RPH is a registered healthcare professional specializing in Pharmacist in Lake Station, IN. Practice services are available at 3500 CENTRAL AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3500 Central Ave

Lake Station, IN 464052271

Telephone 2199637355
Fax 2199631562
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1518972652

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Lake Station, IN

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

Practicing in Lake Station, IN (5218 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

CMS Verified: 2025-10-01
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License IN 26019585A

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

5 Associated Practitioners
NPI 1245507748
NPI 1366053357

Doctor of Pharmacy (Pharm.D.)

Angela Balfanz

Pharmacist

NPI 1568731859
NPI 1689083198

Doctor of Pharmacy (Pharm.D.)

NPI 1699043406

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location October 01, 2025

Registered at 3500 CENTRAL AVE, LAKE STATION, IN 464052271 (Tel: 2199637355)

📍
Updated Business Mailing Address October 01, 2025

Registered at 3500 CENTRAL AVE, LAKE STATION, IN 464052271 (Tel: 2199637355)

📍
Updated Practice Location January 24, 2024

Registered at 801 MACARTHUR BLVD STE 102, MUNSTER, IN 463212916 (Tel: 2198362480)

📍
Updated Business Mailing Address January 24, 2024

Registered at 801 MACARTHUR BLVD STE 102, MUNSTER, IN 463212916 (Tel: 2198362480)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2024

Pharmacist (License #26019585A in IN)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 18, 2021

Pharmacist (License #051.293310 in IL)

NPI Profile Active January 05, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location January 05, 2011

Registered at 300 WILMOT RD, MS#3211, DEERFIELD, IL 600154614 (Tel: 8475274153)

📍
Updated Business Mailing Address January 05, 2011

Registered at 261 N MICHIGAN AVE, HOBART, IN 463423235 (Tel: 2196143786)

👤
Provider Name / Credentials Updated January 05, 2011

Recorded as MICHAEL JOHNSON, R.PH.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 05, 2011

Pharmacist (License #26019585A in IN)

🟢
Initial NPI Registration & Enumeration January 05, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1124322110
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 05, 2011
Last Update: October 01, 2025
Sole Proprietor: Yes

Mailing Address

3500 Central Ave

Lake Station, IN 464052271

Phone: 2199637355

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.