Active NPI
Christina R Johnson, R.PH
- Pharmacist
- Summersville, WV
National Provider Identifier
1043496086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP0005969
- Practice address
- 421 Main St
Summersville, WV 26651-1343 - Phone
- (304) 872-2777
- NPI assigned
- Jan 20, 2008
- Last updated
- Jan 20, 2008
- Sex
- Female
- 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 | RP0005969 | WV | Primary |
Addresses
Primary practice location
421 Main St
Summersville, WV 26651-1343
Mailing address
421 Main St
Summersville, WV 26651-1343
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 |
|---|---|---|---|
| RP0005969 | WV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nicholas Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 1
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 Nicholas Pharmacy
- Oxygen Equipment & Supplies (DME)
- Summersville, WV
- NPI 1962481697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200787200000",
"number": "1043496086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 MAIN ST",
"city": "SUMMERSVILLE",
"state": "WV",
"postal_code": "266511343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 MAIN ST",
"city": "SUMMERSVILLE",
"state": "WV",
"postal_code": "266511343",
"telephone_number": "304-872-2777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "CHRISTINA",
"middle_name": "R",
"credential": "R.PH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-20",
"last_updated": "2008-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0005969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Summersville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.