Mitchell and Johnson Phcy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

09348 Issued in NC

Legal business name

MITCHELL AND JOHNSON PHCY INC

Doing business as

Island Pharmacy

Practice address

2187 Old Mountain Rd
Statesville, NC 28625-1631

Phone

(704) 873-0000

NPI assigned

Jul 29, 2006

Organization subpart

No

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

Authorized official

Name

Kimberly Mitchell

Title

VP Pharmacy Manager

Phone

(828) 632-3545

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Island Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1861406118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2187 OLD MOUNTAIN RD",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286251631",
            "telephone_number": "704-873-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2187 OLD MOUNTAIN RD",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286251631",
            "telephone_number": "704-873-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL AND JOHNSON PHCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "VP PHARMACY MANAGER",
        "authorized_official_telephone_number": "828-632-3545"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "09348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2065894",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Island Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shawn Micheal Minick, PT
• Angela Minor, LPN
• Emily Minton
• Mary Elizabeth Minton, MS, BCBA
• Anita Misra, M.D.
• Cynthia Loree Mitchell, P.A.-C
• Hannah Mitchell
• Kimberly Mitchell, RPH
• Sherry Moawad, RPH
• Mobile Biopsy LLC

• Community/Retail Pharmacy in Statesville, NC
• Providers in Statesville, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.