Individual provider

Kelly Johnson, PHARM.D.

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Kelly Johnson, PHARM.D. is a Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Park Ridge, IL, registered under NPI 1063689537. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 1775 DEMPSTER ST DEPARTMENT OF PHARMACY, Park Ridge, IL 60068. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1775 DEMPSTER ST DEPARTMENT OF PHARMACY, Park Ridge, IL 60068 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
RPH020409 GA Pharmacist Clinician (PhC)/ Clinical… primary
051290309 IL Pharmacist Clinician (PhC)/ Clinical…
0202206314 VA Pharmacist Clinician (PhC)/ Clinical…

Licences are recorded in 3 states: GA, IL, VA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

Licensed in 3 states

This provider holds licences in 3 states: Georgia, Illinois and Virginia. The practice address on file is in Park Ridge, IL, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

GA Georgia
Licence
RPH020409
Specialty
Pharmacist Clinician (PhC)/ Clinical…
Verify with the GA board →
IL Illinois practice address
Licence
051290309
Specialty
Pharmacist Clinician (PhC)/ Clinical…
Verify with the IL board →
VA Virginia
Licence
0202206314
Specialty
Pharmacist Clinician (PhC)/ Clinical…
Verify with the VA board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist covers

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. NUCC Health Care Provider Taxonomy, code 1835P0018X
Pharmacy Service Providers Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
1835P0018X Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist RPH020409 GA primary
1835P0018X Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 051290309 IL
1835P0018X Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 0202206314 VA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1063689537 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMay 13, 2008
Last updatedMay 13, 2008
StatusActive
Sole proprietorYes
CredentialPHARM.D.
Practice address 1775 DEMPSTER ST
DEPARTMENT OF PHARMACY
Park Ridge, IL 60068
(847) 723-5890
This record was last updated on May 13, 2008, roughly 18 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1063689537 passes the NPI check digit test The final digit 7 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 6 3 6 8 9 5 3
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 3 3 3 8 9 5 6

Sum = 63 · next multiple of 10 = 70 · check digit = 7 · actual last digit = 7

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1063689537?
NPI 1063689537 is the National Provider Identifier assigned to Kelly Johnson, PHARM.D. in Park Ridge, IL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist cover?
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.
How do I contact Kelly Johnson, PHARM.D.?
The phone number on file with NPPES is (847) 723-5890, last updated May 13, 2008. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1063689537 a valid number?
Yes. 1063689537 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.