Johnson RX Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE009692 Issued in GA

Legal business name

JOHNSON RX INC

Doing business as

Summerville Discount Pharmacy

Practice address

9848 Rome Blvd
Summerville, GA 30747-1586

Phone

(706) 808-0606

Fax

(706) 808-0609

NPI assigned

Sep 17, 2010

Last updated

Nov 6, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Copeland Johnson

Title

VP/Owner

Phone

(256) 504-2253

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Summerville Discount Pharmacy Doing business as

Tax ID family

Jacksonville Discount Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Johnson RX Inc

  dba Jacksonville Discount Pharmacy

  • Community/Retail Pharmacy
  • Jacksonville, AL
  • NPI 1124427851
  NPD tax ID

Locations

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383696000000",
    "number": "1649588195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9848 ROME BLVD",
            "city": "SUMMERVILLE",
            "state": "GA",
            "postal_code": "307471586",
            "telephone_number": "706-808-0606",
            "fax_number": "706-808-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9848 ROME BLVD",
            "city": "SUMMERVILLE",
            "state": "GA",
            "postal_code": "307471586",
            "telephone_number": "706-808-0606",
            "fax_number": "706-808-0609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-17",
        "last_updated": "2013-11-06",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "COPELAND",
        "authorized_official_title_or_position": "VP/OWNER",
        "authorized_official_telephone_number": "256-504-2253"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE009692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2126792",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summerville Discount Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Nicole Hudgins, LMSW
• Adaobi N Ibeabuchi
• Jackson Drug Co., Inc
• Joel K. Jager, M.D.
• Jenna Spencer
• Christopher Timothy Keenan, D.D.S
• Amanda Key, COTA/L
• Luanne Thomas Kilgo, OTR/L
• Weston King, M.D.
• Lisa Renee Kirkpatrick, MS, OTR/L

• Community/Retail Pharmacy in Summerville, GA
• Providers in Summerville, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; 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.