Active NPI
H. Johnson'S Pharmacy, Inc
- Community/Retail Pharmacy
- Bristol, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 0000001500
- Legal business name
- H. JOHNSON'S PHARMACY, INC
- Doing business as
- H. Johnson's Pharmacy
- Practice address
- 520 Bluff City Hwy
Bristol, TN 37620-4606 - Phone
- (423) 968-2895
- Fax
- (423) 968-5986
- NPI assigned
- Sep 19, 2006
- 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
- Bradley Deal, PHARM D
- Title
- Owner/President
- Phone
- (423) 383-1416
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 0000001500 | TN | Primary |
Addresses
Primary practice location
520 Bluff City Hwy
Bristol, TN 37620-4606
Mailing address
520 Bluff City Hwy
Bristol, TN 37620-4606
Phone (423) 968-2895
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2144343 | Other | PK | |
| 1452230 | Medicaid | TN |
Other names 1
- H. Johnson's Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090918000418 | TN | Part B Supplier - Mass Immunization (Roster Biller Only) | 9638225493 | Practice locations: Bristol, TN |
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.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2266048 | H Johnson'S Pharmacy, Inc | Certificate of waiver | Aug 3, 2026 |
National Provider Directory
National Provider DirectoryLocations
1103 Bluff City Hwy
Bristol, TN 37620
Phone (423) 968-2895
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Bristol, TN
- NPI 1326322116
-
- Hospitalist Physician
- Kingsport, TN
- NPI 1104811694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158624000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611619200000",
"number": "1366549974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 BLUFF CITY HWY",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376204606",
"telephone_number": "423-968-2895",
"fax_number": "423-968-5986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 BLUFF CITY HWY",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376204606",
"telephone_number": "423-968-2895",
"fax_number": "423-968-5986"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "H. JOHNSON'S PHARMACY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-19",
"last_updated": "2021-01-26",
"certification_date": "2021-01-26",
"status": "A",
"authorized_official_last_name": "DEAL",
"authorized_official_first_name": "BRADLEY",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "423-383-1416",
"authorized_official_credential": "PHARM D"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TN",
"license": "0000001500",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2144343",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1452230",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "H. Johnson's Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bristol, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.