Johnson Drug Company Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

08865 Issued in NC

Legal business name

JOHNSON DRUG COMPANY INC

Doing business as

JOHNSON DRUG COMPANY INC

Practice address

714 New Bridge St
Jacksonville, NC 28540-5435

Phone

(910) 347-5185

Fax

(910) 347-9298

NPI assigned

May 26, 2006

Organization subpart

No

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

Authorized official

Name

Anthony Medlin

Title

President

Phone

(910) 347-5185

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• JOHNSON DRUG COMPANY INC Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Johnson Drug Company, Inc

  • Oxygen Equipment & Supplies (DME)
  • Jacksonville, NC
  • NPI 1235255068

  3274651971

  Same PAC ID

Tax ID family

Johnson Drug Company Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Johnson Drug Co

  • Community/Retail Pharmacy
  • Jacksonville, NC
  • NPI 1942696745
  NPD tax ID
• Johnson Drug Company, Inc

  • Oxygen Equipment & Supplies (DME)
  • Jacksonville, NC
  • NPI 1235255068
  NPD tax ID

Locations

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1558318683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285410250",
            "telephone_number": "910-347-5185",
            "fax_number": "910-347-9298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 NEW BRIDGE ST",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285405435",
            "telephone_number": "910-347-5185",
            "fax_number": "910-347-9298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON DRUG COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "MEDLIN",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-347-5185"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "08865",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2067593",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JOHNSON DRUG COMPANY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Larry Norman Johannessen, PHD MSW LCSW MDIV
• Erin Nichole Johanns, PT
• John M Romulus IV
• John M. Romulus DDS PA
• Johnson Drug Co
• Johnson Drug Company, Inc
• Johnson Drug Westpark
• Johnson Drug Williamsburg
• Johnson Drug Williamsburg Inc.
• Johnson Westpark Drugs

• Community/Retail Pharmacy in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.