Individual provider Active NPI

Mark Johnson, RPH

  • Pharmacist
  • New Middletown, OH
National Provider Identifier
1023609997
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03313397 Issued in OH
Practice address
10395 Main St
New Middletown, OH 44442-9717
Phone
(330) 542-2802
Fax
(330) 542-2035
NPI assigned
Feb 2, 2021
Last updated
Feb 3, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03313397 OH Primary

Addresses

Primary practice location

10395 Main St
New Middletown, OH 44442-9717

Mailing address

13130 Springfield Rd
New Springfield, OH 44443-9785
Phone (330) 501-3857

Other practice location 1

Family Drug
120 South Vine St
Columbiana, OH 44408
Phone (330) 482-3816

Other practice location 2

1624 E Poland Rd
New Castle, PA 16102-2838
Phone (724) 667-7124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
03313397OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
New Middletown Village Pharmacy Inc. CurrentSince Feb 7, 2021 Accepting new patients
HC Carano Pharmacies Inc. Past Accepting new patients

Locations

10395 Main St
New Middletwn, OH 44442
Phone (330) 542-2802

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1023609997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13130 SPRINGFIELD RD",
            "city": "NEW SPRINGFIELD",
            "state": "OH",
            "postal_code": "444439785",
            "telephone_number": "330-501-3857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10395 MAIN ST",
            "city": "NEW MIDDLETOWN",
            "state": "OH",
            "postal_code": "444429717",
            "telephone_number": "330-542-2802",
            "fax_number": "330-542-2035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Family Drug",
            "address_2": "120 South Vine St",
            "address_purpose": "LOCATION",
            "city": "Columbiana",
            "state": "OH",
            "postal_code": "44408",
            "country_code": "US",
            "telephone_number": "330-482-3816",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1624 E Poland Rd",
            "address_purpose": "LOCATION",
            "city": "New Castle",
            "state": "PA",
            "postal_code": "161022838",
            "country_code": "US",
            "telephone_number": "724-667-7124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARK",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03313397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Middletown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.