Johnson RX Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

114403 Issued in AL

Legal business name

JOHNSON RX INC

Doing business as

Jacksonville Discount Pharmacy

Practice address

1642 Pelham Rd S
Jacksonville, AL 36265-3312

Phone

(256) 706-6845

Fax

(888) 537-4507

NPI assigned

Aug 19, 2014

Last updated

Mar 24, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Copeland Johnson, PHARMACIST

Title

Owner/Pharmacist

Phone

(256) 504-2253

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Jacksonville Discount Pharmacy Doing business as

Tax ID family

Jacksonville Discount Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Johnson RX Inc

  dba Summerville Discount Pharmacy

  • Community/Retail Pharmacy
  • Summerville, GA
  • NPI 1649588195
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julie Clark, PHARMD

  • Pharmacist
  • Jacksonville, AL
  • NPI 1356944011
  NPD (past)

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1124427851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4055 ALABAMA HWY 9",
            "address_2": "SUITE F",
            "city": "CEDAR BLUFF",
            "state": "AL",
            "postal_code": "35959",
            "telephone_number": "256-779-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1642 PELHAM RD S",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362653312",
            "telephone_number": "256-706-6845",
            "fax_number": "888-537-4507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-19",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "COPELAND",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "256-504-2253",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "114403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2147427",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165475",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jacksonville Discount Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacksonville Internal Medicine
• Jacksonville Medical Professional Services LLC
• Jacksonville State University (Jacksonville State University Sports Medicine)
• Jacksonville Surgical & Medical Affiliates, LLC
• Jennifer Woodard CRNP
• David Scott Johnson Jr.
• Olivia Keefe, MS, LAT, ATC
• Evette Koehler, ALC
• Eric Hudson La Fayette, D.M.D.
• Ladiga Medical, LLC

• Community/Retail Pharmacy in Jacksonville, AL
• Providers in Jacksonville, AL by specialty
• Community/Retail Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.