MEDICARE: MR. RANDY GORDON JOHNSON RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PH00010990	WA

General Provider Information

NPI Number	:	1972581957
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RANDY GORDON JOHNSON RPH

Provider Business Mailing Address
First Line	:	34617 SE 56TH PL
Second Line	:
City	:	FALL CITY
State	:	WA
Zip	:	98024-8806
Country	:	US
Telephone Number	:	425-246-9205
Fax Number	:

Provider Business Practice Location Address
First Line	:	34617 SE 56TH PL
Second Line	:
City	:	FALL CITY
State	:	WA
Zip	:	98024-8806
Country	:	US
Telephone Number	:	425-246-9205
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2006
Last Update Date	:	01/03/2014

Similar Medicare Providers

1861428120 — MR. J R TITSWORTH ATC, LAT, LPTA
Practice Location Address:

5007 BOBWHITE CT , 38652 SR 52 , PHS DADE CITY FL 33525
DADE CITY, FL
33523-8806

Practice Phone: 352-583-0659
Practice Fax:

1336220839 — GILA REGIONAL MEDICAL CENTER
Practice Location Address:

3202 N. RIDGE LOOP , SILVER CITY,
SILVER CITY, NM
88061-8806

Practice Phone: 575-388-9708
Practice Fax: 575-342-2953

1134824519 — MICKEY GIBSON
Practice Location Address:

126 PLANTATION TRCE
BOSSIER CITY, LA
71112-8806

Practice Phone: 318-245-1120
Practice Fax:

1730873274 — ROSALIND JONES
Practice Location Address:

2702 CLARA LN
TEXAS CITY, TX
77590-8806

Practice Phone: 409-737-8641
Practice Fax:

1801612551 — MRS. CINSEARARAY ANGEL SHANEYFELT ATTENDANT CARE AND H
Practice Location Address:

6185 STOCKSDALE RD
UNION CITY, OH
45390-8806

Practice Phone: 937-564-8050
Practice Fax:

1003610619 — JANY MARQUES YOUNGS
Practice Location Address:

8806 ATTITUDE AVE
PANAMA CITY BEACH, FL
32413-9636

Practice Phone: 850-687-0847
Practice Fax:

Directions to “ MR. RANDY GORDON JOHNSON RPH” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.