Active NPI
Mark Johnson, RPH
- Pharmacist
- New Middletown, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03313397
- 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, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 03313397 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Middletown Village Pharmacy Inc. | Current | 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.
-
dba Village Pharmacy
- Community/Retail Pharmacy
- New Middletown, OH
- NPI 1952473407
-
dba Village Pharmacy
- Community/Retail Pharmacy
- New Castle, PA
- NPI 1598840415
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.