Active NPI
David W. Johnson
Doing business as Johnson's Pharmacy
- Community/Retail Pharmacy
- Spring Valley, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 054006644
- Legal business name
- DAVID W. JOHNSON
- Doing business as
- Johnson's Pharmacy
- Practice address
- 203 E Saint Paul St
Spring Valley, IL 61362-2139 - Phone
- (815) 664-5050
- Fax
- (815) 663-4069
- NPI assigned
- May 20, 2008
- Last updated
- Apr 7, 2026
- 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
- David Wayne Johnson, PHARMACIST
- Title
- Owner / Pharmacist
- Phone
- (815) 664-5050
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 054006644 | IL | Primary |
Addresses
Primary practice location
203 E Saint Paul St
Spring Valley, IL 61362-2139
Mailing address
203 E Saint Paul St
Spring Valley, IL 61362-2139
Phone (815) 664-5050
Other names 1
- Johnson's Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930029371 | IL | DME Supplier - Pharmacy | 1052431293 | Practice locations: Spring Valley, IL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| David W Johnson | Immunosuppressive Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
203 E Saint Paul St
Spring Valley, IL 61362
Phone (815) 664-5050
Practitioners & affiliated clinicians
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.
-
- Pharmacist
- Spring Valley, IL
- NPI 1972676328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211241600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775520000000",
"number": "1316104144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 E SAINT PAUL ST",
"city": "SPRING VALLEY",
"state": "IL",
"postal_code": "613622139",
"telephone_number": "815-664-5050",
"fax_number": "815-663-4069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 E SAINT PAUL ST",
"city": "SPRING VALLEY",
"state": "IL",
"postal_code": "613622139",
"telephone_number": "815-664-5050",
"fax_number": "815-663-4069"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID W. JOHNSON",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-20",
"last_updated": "2026-04-07",
"certification_date": "2026-04-07",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "WAYNE",
"authorized_official_title_or_position": "OWNER / PHARMACIST",
"authorized_official_telephone_number": "815-664-5050",
"authorized_official_credential": "PHARMACIST"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "IL",
"license": "054006644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Johnson's Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Spring Valley, IL
- Central Illinois Pulmonary & Critical Care Associates
- Janet M Cetwinski, OTA/L
- Michael Joseph Condon, DC
- Mario E Cote, M.D.
- Marilyn Csernus, LD,CDE,MS,RD
- Geri Kay Dew, R.D., LDN
- Dialysis Centers of America - Illinois, Inc. (RCG Central Illinois-Spring Valley)
- Christopher John Differding, PA-C
- Tara L Doyle, LSW
- Tamara L Dunlap-Workman, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.