Active NPI
Johnson Drug Company, Inc
- Oxygen Equipment & Supplies (DME)
- Jacksonville, NC
National Provider Identifier
1235255068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- Legal business name
- JOHNSON DRUG COMPANY, INC
- Practice address
- 714 New Bridge St
Jacksonville, NC 28540-5435 - Phone
- (910) 347-5185
- Fax
- (910) 347-9298
- NPI assigned
- Mar 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael Charles Montcrieff
- Title
- Director, Patient Services
- Phone
- (910) 347-5185
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | NC | Primary |
Addresses
Primary practice location
714 New Bridge St
Jacksonville, NC 28540-5435
Mailing address
714 New Bridge St
Jacksonville, NC 28540-5435
Phone (910) 347-5185
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7700020 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930076333 | NC | DME Supplier - Pharmacy | 3274651971 | Practice locations: Jacksonville, NC |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Johnson Drug Company Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Jacksonville, NC
- NPI 1942696745
-
- Community/Retail Pharmacy
- Jacksonville, NC
- NPI 1558318683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1235255068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "714 NEW BRIDGE ST",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285405435",
"telephone_number": "910-347-5185",
"fax_number": "910-347-9298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "714 NEW BRIDGE ST",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285405435",
"telephone_number": "910-347-5185",
"fax_number": "910-347-9298"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHNSON DRUG COMPANY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-22",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "MONTCRIEFF",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "CHARLES",
"authorized_official_title_or_position": "DIRECTOR, PATIENT SERVICES",
"authorized_official_telephone_number": "910-347-5185",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7700020",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.