Johnsons Hometown Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE009726 Issued in GA

Legal business name

JOHNSONS HOMETOWN PHARMACY INC

Doing business as

Johnson's River Place Pharmacy

Practice address

2625 Old Winder Hwy Ste H
Braselton, GA 30517-7021

Phone

(770) 967-1000

Fax

(770) 967-1080

NPI assigned

Feb 8, 2011

Organization subpart

No

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

Authorized official

Name

Joseph Johnson

Title

President/Owner

Phone

(770) 315-4103

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Johnson's River Place Pharmacy Doing business as

Tax ID family

Johnson'S River Place Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Johnson'S Hometown Pharmacy Inc

  • Community/Retail Pharmacy
  • Hoschton, GA
  • NPI 1811212012
  NPD tax ID

Locations

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

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458086400000",
    "number": "1477859452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 OLD WINDER HWY",
            "address_2": "SUITE H",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305177020",
            "telephone_number": "770-967-1000",
            "fax_number": "770-967-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 OLD WINDER HWY STE H",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305177021",
            "telephone_number": "770-967-1000",
            "fax_number": "770-967-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSONS HOMETOWN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-08",
        "last_updated": "2016-03-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "770-315-4103"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE009726",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003109653A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2128713",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnson's River Place Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Suzan Jackovatz, RDN, LD
• Yoomi Jang
• Holly Amber Johns, FNP-BC
• Connie Johnson
• Kelley L Johnson, FNP-BC
• Dewina Jones
• Angela M Joseph, PTA
• Fnu Kalpana
• Joseph Henry Kanclerz, MSN, NP-C, RNFA
• Hannah Kanu

• Community/Retail Pharmacy in Braselton, GA
• Providers in Braselton, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; 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.