Organization Active NPI

Johnson Pharmacy

  • Community/Retail Pharmacy
  • Quitman, AR
National Provider Identifier
1942348024
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Authorized official

Name
Thomas J JohnsonNPI 1578618310
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)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
100542407MedicaidAR

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.