Johnson Westpark Drugs

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

08864 Issued in NC

Legal business name

JOHNSON WESTPARK DRUGS

Doing business as

JOHNSON WESTPARK DRUGS

Practice address

3060 Richlands Hwy
Jacksonville, NC 28540-2926

Phone

(910) 455-9222

Fax

(910) 938-2221

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Anthony Medlin

Title

President

Phone

(910) 347-5185

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• JOHNSON WESTPARK DRUGS Doing business as

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1164529004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285410250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 RICHLANDS HWY",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285402926",
            "telephone_number": "910-455-9222",
            "fax_number": "910-938-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON WESTPARK DRUGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "MEDLIN",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-347-5185"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "08864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0675264",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2068260",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JOHNSON WESTPARK DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Johnson Drug Company Inc
• Johnson Drug Company, Inc
• Johnson Drug Westpark
• Johnson Drug Williamsburg
• Johnson Drug Williamsburg Inc.
• Jade Angelique Johnson-Grant
• Anishia Johnson
• Dornecia Johnson
• Earlie T Johnson Jr., M.D.
• Ellie Marie Johnson, PT, DPT

• Community/Retail Pharmacy in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.