Individual Healthcare Provider
Jacob T Johnson
Provider's NPPES record last updated: June 29, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1063338333
- Primary Specialty
- Pharmacist — Pain Management
- Practice Location
- Fort Pierre, South Dakota
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 8:42 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Pharmacist
Pain Management
Pharmacy Service Providers
A licensed pharmacist who has demonstrated specialized knowledge and skills, providing integrated, comprehensive, and accessible healthcare services to patients experiencing pain and associated symptoms.
Taxonomy code 1835P1400X
Provider-Reported License Information
- Pharmacist (South Dakota)
- 22ESTC8676
- Pharmacist (South Dakota)
- 22ESTC0839
- Pharmacist (South Dakota)
- 25ESTC1701
- Pharmacist (South Dakota)
- 22ESTC7355
- Pharmacist (South Dakota)
- 22ESTC5017
Practice Locations
Practice Location
1005 Yellowstone Street
Fort Pierre, South Dakota 57532
Phone: (605) 280-4481
Additional Practice Location
1820 Rand Rd
Rapid City, South Dakota 57702-9393
Phone: (605) 280-4481
Additional Practice Location
2340 N Elk Vale Rd Ste 106
Rapid City, South Dakota 57703-1102
Phone: (605) 280-4481
Additional Practice Location
19075 US Highway 85
Belle Fourche, South Dakota 57717-3110
Phone: (605) 280-4481
Fax: (605) 280-4481
Additional Practice Location
11801 Owl Creek Rd
Belle Fourche, South Dakota 57717-6704
Phone: (605) 280-4481
Record Information
- Enumeration Date
- June 29, 2026
- Provider's NPPES Record Last Updated
- June 29, 2026
- Certification Date
- June 9, 2026
- NPISignal NPPES Dataset
- August 2026
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