NPIMap

Organization Active NPI

Johnston Health Services Corporation

Doing business as Johnston Health Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Smithfield, NC
National Provider Identifier
1588069181
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
12112 Issued in NC
Legal business name
JOHNSTON HEALTH SERVICES CORPORATION
Doing business as
Johnston Health Outpatient Pharmacy
Practice address
509 N Brightleaf Blvd
Smithfield, NC 27577-4407
Phone
(919) 938-7386
Fax
(919) 934-8172
NPI assigned
Oct 27, 2014
Last updated
Jan 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Authorized official

Name
Kevin Cielinski
Title
Cfo
Phone
(919) 938-6629

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 12112 NC Primary

Addresses

Primary practice location

509 N Brightleaf Blvd
Smithfield, NC 27577-4407

Mailing address

PO Box 1376
Smithfield, NC 27577-1376
Phone (919) 938-7386

Other names 1

  • JOHNSTON HEALTH OUTPATIENT PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150424002130 NC DME Supplier - PharmacyDME Supplier - Hospital 2163655283 Practice locations: Smithfield, NC
O20250910002949 NC Part B Supplier - Mass Immunization (Roster Biller Only) 2163655283 Practice locations: Smithfield, NC

Other NPIs with the same Medicare PAC ID 5

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Johnston Health Services Corporatio509 N Brightleaf Blvd, Smithfield, NC 27577-4407(919) 938-7386 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Feb 1, 2014

National Provider Directory

National Provider Directory
Tax ID family
Johnston Health Services Corporation5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2014 Litho Pl
Ste 201
Fayetteville, NC 28304
Phone (512) 721-4719

514 N Brightleaf Blvd
Ste 1120
Smithfield, NC 27577
Phone (919) 938-7296

514 N Brightleaf Blvd
Ste 1131
Smithfield, NC 27577
Phone (919) 938-7534

514 N Brightleaf Blvd
Ste 1502
Smithfield, NC 27577
Phone (919) 209-5103

514 N Brightleaf Blvd
Ste 900
Smithfield, NC 27577
Phone (919) 938-7127

515 N Brightleaf Blvd
Ste 1702
Smithfield, NC 27577
Phone (919) 938-7374

Practitioners & affiliated clinicians

Practitioners 49

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1588069181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1376",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275771376",
            "telephone_number": "919-938-7386",
            "fax_number": "919-934-8172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 N BRIGHTLEAF BLVD",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774407",
            "telephone_number": "919-938-7386",
            "fax_number": "919-934-8172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSTON HEALTH SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-27",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "CIELINSKI",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "919-938-6629"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "12112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JOHNSTON HEALTH OUTPATIENT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Smithfield, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.