Individual provider Active NPI

Michael Kenneth Johnson, RPH

  • Pharmacist
  • Abingdon, VA
National Provider Identifier
1538123955
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202011066 Issued in VA
Practice address
101 Charwood Dr
Abingdon, VA 24210-2576
Phone
(276) 676-2900
Fax
(276) 676-2915
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202011066 VA Primary
Pharmacist 183500000X PS29942 FL

Addresses

Primary practice location

101 Charwood Dr
Abingdon, VA 24210-2576

Mailing address

101 Charwood Dr
Abingdon, VA 24210-2576
Phone (276) 676-2900

Other identifiers 1

IdentifierTypeStateIssuer
4835154OtherVANCPDP

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

LicenseStateTypeSpecialty
PS29942FLMDPharmacist
0202011066VAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Michaels Pharmacy Current Accepting new patients

Locations

101 Charwood Dr
Abingdon, VA 24210
Phone (276) 676-2900

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1538123955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CHARWOOD DR",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102576",
            "telephone_number": "276-676-2900",
            "fax_number": "276-676-2915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CHARWOOD DR",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102576",
            "telephone_number": "276-676-2900",
            "fax_number": "276-676-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MICHAEL",
        "middle_name": "KENNETH",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202011066",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS29942",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4835154",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.

Verify at the official NPI Registry.