Chet Johnson Drugs, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

4369042 Issued in WI

Legal business name

CHET JOHNSON DRUGS, INC.

Practice address

204 Keller Ave N
Amery, WI 54001-1036

Phone

(715) 268-8121

Fax

(715) 268-4733

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Matthew Paul Johnson, RPHNPI 1396083655

Title

President

Phone

(715) 268-8121

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WI2 enrollments

Enrollment records 2

Tax ID family

Chet Johnson Drugs Inc2 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.

• Chet Johnson Drugs, Inc.

  • Community/Retail Pharmacy
  • Amery, WI
  • NPI 1043938202
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Johnson, RPH

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Amery, WI
  • NPI 1396083655
  NPD Authorized official

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1184711087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17",
            "city": "AMERY",
            "state": "WI",
            "postal_code": "540000017",
            "telephone_number": "715-268-8121",
            "fax_number": "715-268-4733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 KELLER AVE N",
            "city": "AMERY",
            "state": "WI",
            "postal_code": "540011036",
            "telephone_number": "715-268-8121",
            "fax_number": "715-268-4733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHET JOHNSON DRUGS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-268-8121",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "4369042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "0490020001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33100200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy Renee Campion, PT
• Susan Marie Carlin, MSE, CFY-SLP
• Aravind Chandra
• Chet Johnson Drug Clinical Services, LLC
• Chet Johnson Drugs, Inc.
• Bonita Anne Christensen, P.T.A.
• Christopherson Eye Clinic
• Bryce Alan Christopherson, OD
• Terry Lynn Christopherson, OD
• Ashleigh Amber Clemmens, COTA

• Community/Retail Pharmacy in Amery, WI
• Providers in Amery, WI by specialty
• Community/Retail Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.