Dylan Royce Johnston, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PR71615 Issued in ME

Practice address

797 Main St
Presque Isle, ME 04769-2201

Phone

(207) 760-9100

Fax

(207) 760-9191

NPI assigned

Apr 10, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Presque Isle Pharmacy Co., LLC

  • Long Term Care Pharmacy
  • Presque Isle, ME
  • NPI 1417662255
  NPD
• Presque Isle Pharmacy Co., LLC

  • Community/Retail Pharmacy
  • Presque Isle, ME
  • NPI 1770645491
  NPD (past)
• Wal-Mart Stores East LP

  • Community/Retail Pharmacy
  • Houlton, ME
  • NPI 1376560649
  NPD (past)
• Wal-Mart Stores East, LP

  • Pharmacy
  • Apollo Beach, FL
  • NPI 1437027208
  NPD (past)

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

{
    "created_epoch": "1618012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1376123745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 STATION RD",
            "city": "MONTICELLO",
            "state": "ME",
            "postal_code": "047603327",
            "telephone_number": "207-538-6353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "797 MAIN ST",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047692201",
            "telephone_number": "207-760-9100",
            "fax_number": "207-760-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "DYLAN",
        "middle_name": "ROYCE",
        "name_prefix": "Mr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-10",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ME",
            "license": "PR71615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip Jacob, MD
• Allen Irvin Jacobs, D.M.D.
• Gabrielle Jandreau, MSOTR/L
• Stacy-Jo W. Jandreau, MD
• Erik Arthur Johnson, DMD
• Kelley A Johnston
• Tiffany P Johnston, SLP
• Deborah J Jones, FNP
• Laura J. Jordan, CRNA
• Jason Alan Kaiser, MD

• Pharmacist in Presque Isle, ME
• Providers in Presque Isle, ME by specialty
• Pharmacist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.