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Active NPI 1619543394 Individual Practitioner Female Practitioner

Dr. Calissta Johnson , PharmD

Pharmacist - Nutrition Support • Cedar Park, TX

Professional Overview & Biography Verified Profile Summary

Dr. Calissta Johnson, PharmD is a registered healthcare professional specializing in Pharmacist - Nutrition Support in Cedar Park, TX. Practice services are available at 2500 S LAKELINE BLVD STE 202 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2500 S Lakeline Blvd Ste 202

Cedar Park, TX 786132969

Telephone 5126281090
Fax 5126281089
Associated Practice Facility / Clinic
🏢 Sage Pharmacy And Stores Llc Facility NPI 1023300084

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist - Nutrition Support in Cedar Park, TX

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

Practicing in Cedar Park, TX (26 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: 2021-06-02
Pharmacist - Nutrition Support Primary Specialty

NUCC Taxonomy Code: 1835N1003X

State License TX 55618

A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs.

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active June 02, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location June 02, 2021

Registered at 2500 S LAKELINE BLVD STE 202, CEDAR PARK, TX 786132969 (Tel: 5126281090)

📍
Updated Business Mailing Address June 02, 2021

Registered at 2500 S LAKELINE BLVD STE 202, CEDAR PARK, TX 786132969 (Tel: 5126281090)

👤
Provider Name / Credentials Updated June 02, 2021

Recorded as CALISSTA JOHNSON, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2021

Pharmacist (License #55618 in TX)

🟢
Initial NPI Registration & Enumeration June 02, 2021

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: 1619543394
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 02, 2021
Last Update: June 02, 2021
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

2500 S Lakeline Blvd Ste 202

Cedar Park, TX 786132969

Phone: 5126281090

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.