NPIMap

Organization Active NPI

Johnson Drug Co

  • Community/Retail Pharmacy
  • Jacksonville, NC
National Provider Identifier
1942696745
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
08865 Issued in NC
Legal business name
JOHNSON DRUG CO
Practice address
714 New Bridge St
Jacksonville, NC 28540-5435
Phone
(910) 347-5185
Fax
(310) 347-9298
NPI assigned
Apr 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Authorized official

Name
Mr. Dwight Anthony Medlin, RPH
Title
Owner
Phone
(910) 347-5185

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 08865 NC Primary

Addresses

Primary practice location

714 New Bridge St
Jacksonville, NC 28540-5435

Mailing address

PO Box 250
Jacksonville, NC 28541-0250
Phone (910) 347-5185

National Provider Directory

National Provider Directory
Tax ID family
Johnson Drug Company Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

714 New Bridge St
Jacksonville, NC 28540
Phone (910) 347-5185

NPI Registry JSON

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1942696745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285410250",
            "telephone_number": "910-347-5185",
            "fax_number": "910-347-9298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 NEW BRIDGE ST",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285405435",
            "telephone_number": "910-347-5185",
            "fax_number": "310-347-9298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON DRUG CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-09",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "MEDLIN",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-347-5185",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "08865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; 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.