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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DALLISA JOHNSON CPHT-ADV
NPI 1417874066
Pharmacy Technician in Moscow, ID

Active since July 03, 2026
700 S MAIN ST, MOSCOW, ID 83843(208) 883-6245 Get Directions Write a Review

NPPES record added: July 3, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dallisa Johnson Cpht-adv NPPES

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

DALLISA JOHNSON CPHT-ADV (NPI 1417874066) is an individual pharmacy technician in Moscow, Idaho, licensed in Idaho (CT1222) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1417874066
Entity TypeIndividualFemale
Primary Taxonomy183700000X
Provider Legal NameDALLISA JOHNSONCredential: CPHT-ADV
Location Address700 S MAIN STMoscow, ID 83843-3046
Mailing Address517 Elm St # 194Troy, ID 83871-0077 · (208) 596-5223
Phone(208) 883-6245
Sole ProprietorYes
Enumeration DateJuly 3, 2026
NPPES CertifiedJuly 3, 2026
✔ NPI 1417874066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy TechnicianPharmacy Service Providers
Taxonomy Code183700000X
License✔ Licensed in ID · CT1222
Definition
A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.
700 S MAIN ST, Moscow, ID 83843
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN BROGIS M.D.
Emergency Medicine
700 S MAIN ST
MOSCOW, ID 83843
Latah County (208) 882-4511
MISS AMANDA K BLANKENSHIP LMP, NCTMB
Massage Therapist
700 S MAIN ST, GRITMAN MEDICAL CENTER
MOSCOW, ID 83843
Latah County (208) 883-6544
DR. LESLEY ANNE PORTUGAL M.D.
Internal Medicine
700 S MAIN ST
MOSCOW, ID 83843
Latah County (208) 882-4511
CHRISTOPHER MICHAEL STANDLEY D.O.
Family Medicine
700 S MAIN ST
MOSCOW, ID 83843
Latah County (208) 882-4511
JILL LYNN LAWRENCE LMT
Massage Therapist
700 S MAIN ST
MOSCOW, ID 83843
Latah County (208) 883-4104
ADRIANNE MARIE FEJES DNP, CRNA
Nurse Anesthetist, Certified Registered
700 S MAIN ST
MOSCOW, ID 83843
Latah County (208) 882-4511
DOROTHY PLAZA
Registered Nurse (Diabetes Educator)
700 S MAIN ST
MOSCOW, ID 83843
Latah County (208) 883-6341
HOSPICE OF THE PALOUSE
Hospice Care, Community Based
700 S MAIN ST
MOSCOW, ID 83843
Latah County (208) 883-1228

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dallisa Johnson's NPI number?

The NPI number for Dallisa Johnson is 1417874066. It was assigned to this individual provider in the NPPES registry on July 3, 2026.

Where is Dallisa Johnson located?

Dallisa Johnson practices at 700 S Main St, Moscow, ID 83843. The listed phone number is (208) 883-6245.

What is Dallisa Johnson's specialty?

The primary specialty registered for this NPI is Pharmacy Technician with taxonomy code 183700000X.

When was this NPI record last updated?

The NPPES record for Dallisa Johnson was last updated on July 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.