Terry David Johnson, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

14896-040 Issued in WI

Practice address

1705 US Highway 51 and 138
Stoughton, WI 53589-1907

Phone

(608) 873-7612

Fax

(608) 873-7894

NPI assigned

Apr 18, 2007

Last updated

Feb 19, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Walgreen Co

  dba Walgreens #07519

  • Pharmacy
  • Stoughton, WI
  • NPI 1891700969
  NPD (past)

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329609600000",
    "number": "1902022981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 US HIGHWAY 51 AND 138",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535891907",
            "telephone_number": "608-873-7612",
            "fax_number": "608-873-7894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 US HIGHWAY 51 AND 138",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535891907",
            "telephone_number": "608-873-7612",
            "fax_number": "608-873-7894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TERRY",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2012-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051-035717",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "14896-040",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "16566",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bronwyn Hutchinson, DC
• Gary Hutchinson, D.C.
• Thelma Ella-Jean Aislinn Hutchinson, DC
• Adriana Jaramillo, D.D.S.
• Neil C. Johnson, NP
• Lori Julson, CPHT
• K.O. Bodyworks
• Jessica Kaltenberg
• Kelsy J Kerrigan
• Kettle Park Senior Living Inc (Kettle Park Senior Living)

• Pharmacist in Stoughton, WI
• Providers in Stoughton, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2012; 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.