Active NPI
Chet Johnson Drug Clinical Services, LLC
- Primary Care Clinic/Center
- Amery, WI
National Provider Identifier
1013610641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- 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.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew Johnson
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D2111816 | Chet Johnson Drug Inc | Certificate of waiver | Apr 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.
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Amery, WI
- NPI 1396083655
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.