IndividualActive
Jeremy Johnson, PHARM. D.
NPI 1578770327 · Pharmacotherapy Pharmacist · Tulsa, OK
Provider details
- NPI number
- 1578770327
- Entity type
- Individual
- Primary specialty
- Pharmacotherapy PharmacistPharmacy Service Providers
- Credential
- PHARM. D.
- Sex
- Male
- Sole proprietor
- No
- License
- 12853 (OK)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
4502 E 41st St
Suite 2h29
Tulsa, OK 74135-2553
Phone: (918) 660-3007
Fax: (918) 660-3009
Approximate (ZIP-level) locationGet directions
Mailing address
2009 W 119th St S
Jenks, OK 74037-4380
Registry dates
- Enumerated
- 2007-05-17
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.