Individual provider Active NPI

Janet Leigh Johson, RPH

  • Pharmacy
  • Mount Airy, NC
National Provider Identifier
1689287062
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Practice address
113 Scenic Outlet LN Ste 1
Mount Airy, NC 27030-9978
Phone
(336) 352-5900
Fax
(336) 352-5901
NPI assigned
Aug 26, 2020
Last updated
Aug 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

113 Scenic Outlet LN Ste 1
Mount Airy, NC 27030-9978

Mailing address

113 Scenic Outlet LN Ste 1
Mount Airy, NC 27030-9978
Phone (336) 352-5900

Other identifiers 1

IdentifierTypeStateIssuer
10955OtherNCPHARMACY PERMIT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Scenic Pharmacy, Inc Pharmacy CurrentSince Aug 30, 2020 Accepting new patients

Locations

113 Scenic Outlet Ln
Ste 1
Mount Airy, NC 27030
Phone (336) 352-5900

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1689287062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 SCENIC OUTLET LN STE 1",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270309978",
            "telephone_number": "336-352-5900",
            "fax_number": "336-352-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 SCENIC OUTLET LN STE 1",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270309978",
            "telephone_number": "336-352-5900",
            "fax_number": "336-352-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHSON",
        "first_name": "JANET",
        "middle_name": "LEIGH",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-26",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY PERMIT",
            "identifier": "10955",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Airy, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.