Johnson Drug Williamsburg

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

08866 Issued in NC

Legal business name

JOHNSON DRUG WILLIAMSBURG

Practice address

2200 Gum Branch Rd Ste I
Jacksonville, NC 28540-4568

Phone

(910) 938-0582

Fax

(910) 938-0239

NPI assigned

Apr 7, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Dwight Anthony Medlin, RPH

Title

Owner

Phone

(910) 347-5185

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428364800000",
    "number": "1366838377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285410250",
            "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": "2200 GUM BRANCH RD STE I",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285404568",
            "telephone_number": "910-938-0582",
            "fax_number": "910-938-0239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON DRUG WILLIAMSBURG",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-07",
        "last_updated": "2015-04-07",
        "status": "A",
        "authorized_official_last_name": "MEDLIN",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-347-5185",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "08866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John M. Romulus DDS PA
• Johnson Drug Co
• Johnson Drug Company Inc
• Johnson Drug Company, Inc
• Johnson Drug Westpark
• Johnson Drug Williamsburg Inc.
• Johnson Westpark Drugs
• Jade Angelique Johnson-Grant
• Anishia Johnson
• Dornecia Johnson

• Community/Retail Pharmacy in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; 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.