Active NPI
Johnson Pharmacy
- Community/Retail Pharmacy
- Quitman, AR
National Provider Identifier
1942348024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- JOHNSON PHARMACY
- Practice address
- 6124 Heber Springs Rd West
Quitman, AR 72131-0164 - Phone
- (501) 589-2890
- Fax
- (501) 589-3780
- NPI assigned
- Feb 2, 2007
- Last updated
- Nov 1, 2022
- 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
- Thomas J Johnson
- Title
- Pres
- Phone
- (501) 589-2890
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PD05864 | AR | |
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
6124 Heber Springs Rd West
Quitman, AR 72131-0164
Mailing address
PO Box 164
Quitman, AR 72131-0164
Phone (501) 589-2890
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100542407 | Medicaid | AR |
National Provider Directory
National Provider DirectoryLocations
6124 Heber Springs Rd W
Quitman, AR 72131
Phone (501) 589-2890
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Quitman, AR
- NPI 1578618310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667260800000",
"number": "1942348024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 164",
"city": "QUITMAN",
"state": "AR",
"postal_code": "721310164",
"telephone_number": "501-589-2890",
"fax_number": "501-589-3780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6124 HEBER SPRINGS RD WEST",
"city": "QUITMAN",
"state": "AR",
"postal_code": "721310164",
"telephone_number": "501-589-2890",
"fax_number": "501-589-3780"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHNSON PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-02",
"last_updated": "2022-11-01",
"certification_date": "2022-11-01",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRES",
"authorized_official_telephone_number": "501-589-2890"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "AR",
"license": "PD05864",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100542407",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Quitman, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.