Dallisa Johnson, CPHT-ADV
NPI 1417874066ActiveIndividual· Pharmacy Technician· Moscow, ID
Pharmacy Technician (CPHT-ADV) in Moscow, Idaho, licensed in ID, with an NPI issued in July 2026.
Overview
| NPI | 1417874066 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CPHT-ADV |
| Sole proprietor | Yes |
| NPI issued | Jul 3, 2026 |
| Last updated in NPPES | Jul 3, 2026 |
| Certified by provider | Jul 3, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Technician Primary | 183700000X | CT1222 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Pharmacy Technician providers in Moscow
- 1144993395
- 1306531025