Active NPI
Johnsons Pharmacy of Hazleton Inc
- Community/Retail Pharmacy
- Hazleton, PA
National Provider Identifier
1780720490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PP411178L
- Legal business name
- JOHNSONS PHARMACY OF HAZLETON INC
- Practice address
- 901 W 15TH St
Hazleton, PA 18201-2783 - Phone
- (570) 455-5884
- Fax
- (570) 455-1306
- NPI assigned
- Jan 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert J Hinkle Jr., R. PH.
- Title
- Pres
- Phone
- (570) 455-5844
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PP411178L | PA | Primary |
Addresses
Primary practice location
901 W 15TH St
Hazleton, PA 18201-2783
Mailing address
901 W 15TH St
Hazleton, PA 18201-2783
Phone (570) 455-5884
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930009136 | PA | DME Supplier - Pharmacy | 3274651310 | Practice locations: Hazleton, PA |
| O20211019001746 | PA | Part B Supplier - Pharmacy | 3274651310 | Practice locations: Hazleton, PA |
National Provider Directory
National Provider Directory- Tax ID family
- Johnsons LTC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Hazleton, PA
- NPI 1487339719
Locations
901 W 15th St
Hazleton, PA 18201
Phone (570) 455-5884
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Hazleton, PA
- NPI 1194441477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1307404800000",
"number": "1780720490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 W 15TH ST",
"city": "HAZLETON",
"state": "PA",
"postal_code": "182012783",
"telephone_number": "570-455-5884",
"fax_number": "570-455-1306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 W 15TH ST",
"city": "HAZLETON",
"state": "PA",
"postal_code": "182012783",
"telephone_number": "570-455-5884",
"fax_number": "570-455-1306"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHNSONS PHARMACY OF HAZLETON INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-29",
"last_updated": "2011-06-07",
"status": "A",
"authorized_official_last_name": "HINKLE",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRES",
"authorized_official_telephone_number": "570-455-5844",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "R. PH."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "PA",
"license": "PP411178L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hazleton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.