M J W Corportation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2693 Issued in SC

Legal business name

M J W CORPORTATION

Practice address

333 Newberry St NW
Aiken, SC 29801-3929

Phone

(803) 649-1776

Fax

(803) 641-0205

NPI assigned

Oct 5, 2005

Organization subpart

No

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

Authorized official

Name

Brandi Nicole Johnson, PHARM D

Title

President/Owner/Pharmacist

Phone

(803) 648-1776

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• FAMILY PHARMACY Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Wagener Family Pharmacy5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• MJW Corporation

  • Long Term Care Pharmacy
  • Aiken, SC
  • NPI 1629806799
  NPD tax ID
• MJW Corporation

  • Durable Medical Equipment & Medical Supplies
  • Aiken, SC
  • NPI 1659572345
  NPD tax ID
• MJW Corporation

  • Community/Retail Pharmacy
  • Aiken, SC
  • NPI 1669615860
  NPD tax ID
• MJW Corporation

  • Compounding Pharmacy
  • Aiken, SC
  • NPI 1720076540
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alisa B. Burrell, R.PH.

  • Pharmacist
  • Aiken, SC
  • NPI 1205058286
  NPD (past)
• Emily Jane Russell, PHARMD

  • Pharmacist
  • Aiken, SC
  • NPI 1891211975
  NPD (past)
• James Robert Watts II, R. PH.

  • Pharmacist
  • Aiken, SC
  • NPI 1437146347
  NPD (past)

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1790772598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 NEWBERRY ST NW",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298013929",
            "telephone_number": "803-649-1776",
            "fax_number": "803-641-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 NEWBERRY ST NW",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298013929",
            "telephone_number": "803-649-1776",
            "fax_number": "803-641-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M J W CORPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER/PHARMACIST",
        "authorized_official_telephone_number": "803-648-1776",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "2693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "726932",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME636",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2089675",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Luxottica of America Inc.
• Lymin Inc
• Lynsey Beheler DC, LLC
• Michelle M. Lyon, M.D.
• M Aiken Bright Futures
• Payam Maaroof, M.D.
• Catherine Macbroom, RPH.
• Darren Joseph Mack, M.D.
• Veronica L Macmillan, PHARMD
• Tabatha Lee Maddox, OTR/L

• Community/Retail Pharmacy in Aiken, SC
• Providers in Aiken, SC by specialty
• Community/Retail Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.