IndividualActive
Kelly Johnson, CPT
NPI 1417529272 · Pharmacy Technician · Springfield, OR
Provider details
- NPI number
- 1417529272
- Entity type
- Individual
- Primary specialty
- Pharmacy TechnicianPharmacy Service Providers
- Credential
- CPT
- Sex
- Female
- Sole proprietor
- Yes
- License
- CPT-002894 (OR)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
2130 Marcola Rd
Springfield, OR 97477-2592
Phone: (541) 747-3362
Fax: (541) 741-2287
Approximate (ZIP-level) locationGet directions
Mailing address
4930 Daisy St
Springfield, OR 97478-6797
Registry dates
- Enumerated
- 2021-07-12
- Last updated
- 2021-07-12
- Certified
- 2021-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.