Calissta Johnson, PHARMD
NPI 1619543394ActiveIndividual· Pharmacist, Nutrition Support· Cedar Park, TX
Pharmacist, Nutrition Support (PHARMD) in Cedar Park, Texas, licensed in TX, with an NPI issued in June 2021.
Overview
| NPI | 1619543394 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHARMD |
| Sole proprietor | Yes |
| NPI issued | Jun 2, 2021 |
| Last updated in NPPES | Jun 2, 2021 |
| Certified by provider | Jun 2, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist, Nutrition Support Primary | 1835N1003X | 55618 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 |
|---|