Thomas Johnson, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

16660 Issued in NE

Practice address

12119 S 213TH Ave
Gretna, NE 68028-3783

Phone

(402) 259-0601

Fax

(402) 506-7933

NPI assigned

Mar 13, 2020

Last updated

Feb 14, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

State licenses

Practice roles

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

• LNK Pharmacy Solutions

  • Pharmacist
  • Gretna, NE
  • NPI 1609631217
  NPD Authorized official
• Nebraska CVS Pharmacy LLC

  dba CVS Pharmacy #

  • Community/Retail Pharmacy
  • Lincoln, NE
  • NPI 1750599296
  NPD (past)

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

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1386270056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12119 S 213TH AVE",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680283783",
            "telephone_number": "402-259-0601",
            "fax_number": "402-506-7933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10770 Fort St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681341230",
            "country_code": "US",
            "telephone_number": "402-493-3257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "THOMAS",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-13",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "16660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Rebecca Jaekel
• Donald Janda
• John Engler PHD
• Christina Marie Johnson-Gunn, MS, LIMHP, LMHP, LPC
• Patricia J. Johnson, APRN
• Christopher Michael Johnston, DC
• Jordan Leigh Jordan
• Joyful Clinics Medical Group PC
• Lori Kanne, RN
• Jean Ann Kardell, LMT

• Pharmacist in Gretna, NE
• Providers in Gretna, NE by specialty
• Pharmacist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.