Mary Kathryn Johns, PHARMD
Individual provider Active NPI Pharmacist · Woodruff, SC
NPI 1609486455 · NPPES record last updated Aug 6, 2020
Key facts
- NPI
- 1609486455
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 42614 (SC)
- Practice address
- 820 N Main St
Woodruff, SC 29388-9001 - Phone
- (864) 476-0463
- NPI assigned
- Aug 6, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42614 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Carolina CVS Pharmacy LLC | Past |
Accepting new patients | |
| South Carolina CVS Pharmacy LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 42614 | SC | Yes |
Addresses
Primary practice location
820 N Main St
Woodruff, SC 29388-9001
Mailing address
9 S Penobscot CT
Simpsonville, SC 29681-4315
Other providers in Woodruff, SC
- James Clinic Inc
- James H. Allen
- James-Willmot Clinic
- Katherine Anne Janelle
- Terry E Jeffries
- Victoria Grace Johnson
- Jamie Leigh Keeney
- Lyubov Ivanovna Khmaruk
- Mark Stephen Knight
- Patricia Schmidt Knight
All providers in Woodruff, SC · Pharmacist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2020. 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.