Organization Active NPI

Lee H Johnston Inc.

  • Pharmacy
  • Sanford, NC
National Provider Identifier
1255315909
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
3476 Issued in NC
Legal business name
LEE H JOHNSTON INC.
Practice address
100 Park Ave
Sanford, NC 27330-4027
Phone
(919) 776-9715
Fax
(919) 775-1360
NPI assigned
Dec 5, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

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

Authorized official

Name
William S Cameron, RPH
Title
President/Managing Pharmacist
Phone
(919) 776-9715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 3476 NC Primary

Addresses

Primary practice location

100 Park Ave
Sanford, NC 27330-4027

Mailing address

100 Park Ave
Sanford, NC 27330-4027
Phone (919) 776-9715

Other identifiers 2

IdentifierTypeStateIssuer
0535138MedicaidNC
3416016OtherNCNABP

Other names 1

  • Medicine Park Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411430400000",
    "number": "1255315909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARK AVE",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273304027",
            "telephone_number": "919-776-9715",
            "fax_number": "919-775-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PARK AVE",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273304027",
            "telephone_number": "919-776-9715",
            "fax_number": "919-775-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE H JOHNSTON INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-05",
        "last_updated": "2014-09-23",
        "status": "A",
        "authorized_official_last_name": "CAMERON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT/MANAGING PHARMACIST",
        "authorized_official_telephone_number": "919-776-9715",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NC",
            "license": "3476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0535138",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3416016",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Park Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sanford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; 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.