Thomas J Johnson, PD
Individual provider Active NPI Pharmacist · Quitman, AR
NPI 1578618310 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1578618310
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PD05864 (AR)
- Practice address
- 6124 Heber Springs Rd West
Quitman, AR 72131-0164 - Phone
- (501) 589-2890
- Fax
- (501) 589-3780
- NPI assigned
- Jan 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD05864 | AR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johnson Pharmacy | Pharmacist | Current | Accepting new patients |
Locations
6124 Heber Springs Rd W
Quitman, AR 72131
Phone (501) 589-2890
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PD05864 | AR | Yes |
Addresses
Primary practice location
6124 Heber Springs Rd West
Quitman, AR 72131-0164
Mailing address
6124 Heber Springs Rd West
Quitman, AR 72131-0164
Phone (501) 589-2890
Other providers in Quitman, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.