Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1457952913 Deactivated / Inactive NPI Male Practitioner

Jay Kimberly Johnson , RPH

Pharmacist • Centerville, UT

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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, Jay Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 02, 2020
NPI Deactivation Date May 09, 2022
Total Practice Duration ~2 Years of Practice (2020 – 2022)

Professional Overview & Biography Verified Profile Summary

Jay Johnson, RPH was a registered Pharmacist practicing in Centerville, UT. Throughout an active medical career spanning 2 years, Jay Johnson provided care at the practice location at 221 W PARRISH LN until profile deactivation on 2022-05-09.

Practice Location & Contact Primary Location

Practice Address

221 W Parrish Ln

Centerville, UT 840141829

Telephone 8012946168
Fax 8012946171
Associated Practice Facility / Clinic
🏢 Walmart Inc. Facility NPI 1447459920

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Centerville, UT

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

Practicing in Centerville, UT (2037 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 UT 170223-1701

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
Alexa Humphris

Pharmacist

NPI 1194604710
NPI 1770184194

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 May 09, 2022

Record deactivated on May 09, 2022

NPI Profile Active November 02, 2020

NPI status registered as active in NPPES database

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Updated Practice Location November 02, 2020

Registered at 221 W PARRISH LN, CENTERVILLE, UT 840141829 (Tel: 8012946168)

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Updated Business Mailing Address November 02, 2020

Registered at 530 W 1650 N, CENTERVILLE, UT 840143038 (Tel: 8018088522)

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Provider Name / Credentials Updated November 02, 2020

Recorded as JAY JOHNSON, RPH

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2020

Pharmacist (License #170223-1701 in UT)

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Initial NPI Registration & Enumeration November 02, 2020

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: 1457952913
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 02, 2020
Last Update: November 02, 2020
Deactivation Date: May 09, 2022

Mailing Address

530 W 1650 N

Centerville, UT 840143038

Phone: 8018088522

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.