Daniel Johnson
Individual provider Active NPI Pharmacist · Stanley, WI
NPI 1023082237 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1023082237
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 8891-040 (WI)
- Practice address
- 1120 Pine Street
Stanley, WI 54768-0220 - Phone
- (715) 644-6168
- NPI assigned
- Feb 14, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8891-040 | WI | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 8891-040 | WI | Yes |
Addresses
Primary practice location
1120 Pine Street
Stanley, WI 54768-0220
Mailing address
1120 Pine Street
PO Box 220
Stanley, WI 54768-0220
Phone (715) 644-6168
Other providers in Stanley, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.