MIKENNA MORGAN JOHNSON PHARMD
NPI 1063967230
Pharmacist in Boise, ID

Active since August 17, 2016
2655 S BROADWAY AVE, BOISE, ID 83706(208) 345-8728 Get Directions Write a Review

NPPES record last updated: August 17, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mikenna Morgan Johnson Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIKENNA MORGAN JOHNSON PHARMD (NPI 1063967230) is an individual pharmacist in Boise, Idaho, licensed in Idaho (P7558) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1063967230
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameMIKENNA MORGAN JOHNSONCredential: PHARMD
Location Address2655 S BROADWAY AVEBoise, ID 83706-4721
Mailing Address2655 S Broadway AveBoise, ID 83706-4721 · (208) 345-8728
Sole ProprietorNo
Enumeration DateAugust 17, 2016
NPI 1063967230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in ID · P7558
Definition

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.

2655 S BROADWAY AVE, Boise, ID 83706

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Pharmacist
2655 S BROADWAY AVE
BOISE, ID 83706
Pharmacist
2655 S BROADWAY AVE
BOISE, ID 83706
Pharmacist
2655 S BROADWAY AVE
BOISE, ID 83706

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063967230, enumerated as an "individual" on August 17, 2016.

The provider is located at 2655 S BROADWAY AVE BOISE, ID 83706 and the phone number is (208) 345-8728.

Pharmacist with taxonomy code 183500000X.