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JACOB JOHNSON PHARMD
NPI 1629673389
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Oconomowoc, WI

Active since December 01, 2020
1021 SUMMIT AVE, OCONOMOWOC, WI 53066(262) 567-9173 Get Directions Write a Review

NPPES record last updated: March 26, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacob Johnson Pharmd NPPES

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

JACOB JOHNSON PHARMD (NPI 1629673389) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Oconomowoc, Wisconsin, licensed in Wisconsin (20413) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1629673389
Entity TypeIndividualMale
Primary Taxonomy1835P0018X
Provider Legal NameJACOB JOHNSONCredential: PHARMD
Location Address1021 SUMMIT AVEOconomowoc, WI 53066-4499
Mailing Address1021 Summit AveOconomowoc, WI 53066-4499 · (262) 567-9173
Phone(262) 567-9173
Sole ProprietorNo
Enumeration DateDecember 1, 2020
Last NPPES UpdateMarch 26, 2022
NPPES CertifiedMarch 26, 2022
✔ NPI 1629673389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in WI · 20413
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
1021 SUMMIT AVE, Oconomowoc, WI 53066
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Other Providers at the Same Location NPPES 13

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

ERIK GEORGE PAULSON RPH
Pharmacist
1021 SUMMIT AVE
OCONOMOWOC, WI 53066
Waukesha County (262) 567-9173
SUNNY DINESHKUMAR PATEL PHARMACIST
Pharmacist
1021 SUMMIT AVE
OCONOMOWOC, WI 53066
Waukesha County (262) 567-9173
MRS. MARY JO BRENNAN
Pharmacist
1021 SUMMIT AVE
OCONOMOWOC, WI 53066
Waukesha County (262) 567-9173
SKYLER STUBBLEFIELD PHARMD
Pharmacist
1021 SUMMIT AVE
OCONOMOWOC, WI 53066
Waukesha County (262) 567-9173
DR. PAULA R LUKAS PHARMD
Pharmacist
1021 SUMMIT AVE
OCONOMOWOC, WI 53066
Waukesha County (262) 567-9173
RAMA SUNITHA VEJJU PHARM.D.
Pharmacist
1021 SUMMIT AVE
OCONOMOWOC, WI 53066
Waukesha County (262) 567-9173
OLIVIA JILL KULASZEWICZ PHARMD
Pharmacist
1021 SUMMIT AVE
OCONOMOWOC, WI 53066
Waukesha County (262) 567-9173
WALGREEN CO
Pharmacy
1021 SUMMIT AVE
OCONOMOWOC, WI 53066
Waukesha County (262) 567-9173

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 Jacob Johnson's NPI number?

The NPI number for Jacob Johnson is 1629673389. It was assigned to this individual provider in the NPPES registry on December 1, 2020.

Where is Jacob Johnson located?

Jacob Johnson practices at 1021 Summit Ave, Oconomowoc, WI 53066. The listed phone number is (262) 567-9173.

What is Jacob Johnson's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Jacob Johnson was last updated on March 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.