Pamela Sue Johnston, RPH

Individual provider Active NPI Pharmacist · Piedmont, MO

NPI 1083498802 · NPPES record last updated Aug 22, 2023

Key facts

NPI
1083498802
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
042608 (MO)
Practice address
7 Hals PLZ
Piedmont, MO 63957-1613
Phone
(573) 760-5048
Fax
(573) 223-3074
NPI assigned
Aug 22, 2023
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Town and Country Super Market Inc Current
since Sep 5, 2023
Accepting new patients
Town & Country Grocers of Fredericktown Mo Inc Past
since Sep 5, 2023
Accepting new patients

Locations

7 Hals Plz
Piedmont, MO 63957
Phone (573) 223-3180

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 042608 MO Yes

Addresses

Primary practice location

7 Hals PLZ
Piedmont, MO 63957-1613

Mailing address

7 Hals PLZ
Piedmont, MO 63957-1613
Phone (573) 760-5048

Other providers in Piedmont, MO

All providers in Piedmont, MO · Pharmacist in Missouri

Sources for this page

Verify at the official NPI Registry.