Organization Active NPI

Chet Johnson Drug Clinical Services, LLC

  • Primary Care Clinic/Center
  • Amery, WI
National Provider Identifier
1013610641
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CHET JOHNSON DRUG CLINICAL SERVICES, LLC
Practice address
204 Keller Ave N
Amery, WI 54001-1036
Phone
(715) 268-8121
Fax
(715) 268-4733
NPI assigned
Mar 23, 2023
Organization subpart
Yes
Parent organization
CHET JOHNSON DRUGS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Matthew JohnsonNPI 1396083655
Title
Managing Member
Phone
(715) 268-8121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 1835P0018X
Primary Care Clinic/Center 261QP2300X Primary
Clinic Pharmacy 3336C0002X

Addresses

Primary practice location

204 Keller Ave N
Amery, WI 54001-1036

Mailing address

PO Box 17
Amery, WI 54001-0017
Phone (715) 268-8121

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D2111816Chet Johnson Drug Inc204 Keller Ave, Amery, WI 54001Certificate of waiverApr 14, 2028

National Provider Directory

National Provider Directory
Part of
Chet Johnson Drugs Inc

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1013610641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17",
            "city": "AMERY",
            "state": "WI",
            "postal_code": "540010017",
            "telephone_number": "715-268-8121",
            "fax_number": "715-268-4733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 KELLER AVE N",
            "city": "AMERY",
            "state": "WI",
            "postal_code": "540011036",
            "telephone_number": "715-268-8121",
            "fax_number": "715-268-4733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHET JOHNSON DRUG CLINICAL SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHET JOHNSON DRUGS, INC.",
        "enumeration_date": "2023-03-23",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "715-268-8121"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amery, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.