Individual Healthcare Provider
Kelly Leader Johnson, PHARM. D.
Provider's NPPES record last updated: June 12, 2024
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1710729470
- Primary Specialty
- Pharmacist — Ambulatory Care
- Practice Location
- Boulder, Colorado
- 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 17, 2026, 10:55 PM 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
Ambulatory Care
Pharmacy Service Providers
A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community.
Taxonomy code 1835P2201X
Provider-Reported License Information
- Pharmacist (Colorado)
- 16804
Practice Locations
Practice Location
580 Mohawk Dr
Boulder, Colorado 80303-3712
Phone: (303) 554-5020
Record Information
- Enumeration Date
- June 12, 2024
- Provider's NPPES Record Last Updated
- June 12, 2024
- Certification Date
- June 12, 2024
- NPISignal NPPES Dataset
- August 2026
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