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Deactivated NPI 1528064516 Deactivated / Inactive NPI Male Practitioner

David Charles Johnson , RPH

Pharmacist • Cambridge, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, David Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 23, 2005
NPI Deactivation Date January 21, 2021
Total Practice Duration ~16 Years of Practice (2005 – 2021)

Professional Overview & Biography Verified Profile Summary

David Johnson, RPH was a registered Pharmacist practicing in Cambridge, MN. Throughout an active medical career spanning 16 years, David Johnson provided care at the practice location at 100 OPPORTUNITY BLVD N until profile deactivation on 2021-01-21.

Practice Location & Contact Primary Location

Practice Address

100 Opportunity Blvd N

Cambridge, MN 550085822

Telephone 7636890185
Fax 7636890188
Associated Practice Facility / Clinic
🏢 Supervalu Pharmacies Inc Facility NPI 1487792495

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Cambridge, MN

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

Practicing in Cambridge, MN (4994 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 MN 113130-5

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

4 Associated Practitioners
NPI 1487241410

Doctor of Pharmacy (Pharm.D.)

NPI 1760926232

Doctor of Pharmacy (Pharm.D.)

NPI 1841896917

Doctor of Pharmacy (Pharm.D.)

NPI 1972714202

Bachelor of Science, Registered Pharmacist

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated January 21, 2021

Record deactivated on January 21, 2021

NPI Profile Active September 19, 2012

NPI status registered as active in NPPES database

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Updated Practice Location September 19, 2012

Registered at 100 OPPORTUNITY BLVD N, CAMBRIDGE, MN 550085822 (Tel: 7636890185)

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Updated Business Mailing Address September 19, 2012

Registered at 399 317TH AVE NW, CAMBRIDGE, MN 550086996 (Tel: 7636892370)

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Provider Name / Credentials Updated September 19, 2012

Recorded as DAVID JOHNSON, RPH

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2012

Pharmacist (License #113130-5 in MN)

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Initial NPI Registration & Enumeration June 23, 2005

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: 1528064516
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 23, 2005
Last Update: September 19, 2012
Deactivation Date: January 21, 2021

Mailing Address

399 317th Ave Nw

Cambridge, MN 550086996

Phone: 7636892370

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.