Stephen Michael Johnson

Primary specialty

PharmacyTaxonomy code 333600000X

License

0201003487 Issued in VA

Legal business name

STEPHEN MICHAEL JOHNSON

Doing business as

Village Pharmacy

Practice address

443 Duff Patt Hwy
Suite 104
Duffield, VA 24244-5191

Phone

(276) 431-2299

Fax

(276) 431-2191

NPI assigned

Jul 9, 2006

Last updated

Mar 6, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephen Michael Johnson, RPH

Title

Owner and Pic

Phone

(276) 431-2299

Specialties & licenses 2

Addresses

Other names 1

• Village Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1477586642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 383",
            "city": "DUFFIELD",
            "state": "VA",
            "postal_code": "242440383",
            "telephone_number": "276-431-2299",
            "fax_number": "276-431-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 DUFF PATT HWY",
            "address_2": "SUITE 104",
            "city": "DUFFIELD",
            "state": "VA",
            "postal_code": "242445191",
            "telephone_number": "276-431-2299",
            "fax_number": "276-431-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN MICHAEL JOHNSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER AND PIC",
        "authorized_official_telephone_number": "276-431-2299",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "VA",
            "license": "0201003487",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Duffield, VA
• Providers in Duffield, VA by specialty
• Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.