Organization Active NPI

Johnston Drug Inc

  • Community/Retail Pharmacy
  • Euclid, OH
National Provider Identifier
1639212046
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
JOHNSTON DRUG INC
Practice address
625 E 200TH St
Euclid, OH 44119-2350
Phone
(216) 486-2744
Fax
(216) 486-2875
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Anne Konte
Title
Owner Manager
Phone
(216) 486-2744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X OH Primary

Addresses

Primary practice location

625 E 200TH St
Euclid, OH 44119-2350

Mailing address

625 E 200 St
Euclid, OH 44119-2350
Phone (216) 486-2744

Other identifiers 1

IdentifierTypeStateIssuer
0391722MedicaidOH

National Provider Directory

National Provider Directory

Locations

625 E 200th St
Euclid, OH 44119
Phone (216) 486-2744

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639212046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 E 200 ST",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441192350",
            "telephone_number": "216-486-2744",
            "fax_number": "216-486-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E 200TH ST",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441192350",
            "telephone_number": "216-486-2744",
            "fax_number": "216-486-2875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSTON DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KONTE",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "OWNER MANAGER",
        "authorized_official_telephone_number": "216-486-2744",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0391722",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Euclid, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.