Active NPI
Matthew Johnson, RPH
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Amery, WI
National Provider Identifier
1396083655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 11513-040
- Practice address
- 204 Keller Ave N
Amery, WI 54001-1036 - Phone
- (715) 268-8121
- Fax
- (715) 268-4733
- NPI assigned
- Jan 22, 2013
- Last updated
- Apr 22, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 11513-040 | WI | Primary |
Addresses
Primary practice location
204 Keller Ave N
Amery, WI 54001-1036
Mailing address
PO Box 17
Amery, WI 54001-0017
Phone (715) 268-8121
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11513-040 | WI | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chet Johnson Drug Clinical Services, LLC | Pharmacist Clinician (PHC)/ Clinical Pharmacy Specialist | Current | Accepting new patients |
| Chet Johnson Drugs, Inc. | Current | Accepting new patients | |
| Chet Johnson Drugs, Inc. | Current | Accepting new patients |
Locations
204 Keller Ave N
Amery, WI 54001
Phone (715) 268-8121
Organizations & group practices 4
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.
-
- Primary Care Clinic/Center
- Amery, WI
- NPI 1013610641
Pharmacist Clinician (PHC)/ Clinical Pharmacy Specialist
-
- Community/Retail Pharmacy
- Amery, WI
- NPI 1043938202
-
- Community/Retail Pharmacy
- Amery, WI
- NPI 1184711087
-
dba Johnson Drug at Armc
- Community/Retail Pharmacy
- Amery, WI
- NPI 1083621015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776816000000",
"number": "1396083655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 17",
"city": "AMERY",
"state": "WI",
"postal_code": "540010017",
"telephone_number": "715-268-8121",
"fax_number": "715-268-4733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 KELLER AVE N",
"city": "AMERY",
"state": "WI",
"postal_code": "540011036",
"telephone_number": "715-268-8121",
"fax_number": "715-268-4733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "MATTHEW",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-01-22",
"last_updated": "2026-04-22",
"certification_date": "2026-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "WI",
"license": "11513-040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amery, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.