David Wayne Johnson, R.PH

Primary specialty

PharmacistTaxonomy code 183500000X

License

051032176 Issued in IL

Practice address

203 E Saint Paul St
Spring Valley, IL 61362-2139

Phone

(815) 664-5050

Fax

(815) 663-4069

NPI assigned

Nov 15, 2006

Last updated

Apr 7, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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.

• David W. Johnson

  dba Johnson's Pharmacy

  • Community/Retail Pharmacy
  • Spring Valley, IL
  • NPI 1316104144
  Authorized official Same address or phone

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1972676328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 E SAINT PAUL ST",
            "city": "SPRING VALLEY",
            "state": "IL",
            "postal_code": "613622139",
            "telephone_number": "815-664-5050",
            "fax_number": "815-663-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E SAINT PAUL ST",
            "city": "SPRING VALLEY",
            "state": "IL",
            "postal_code": "613622139",
            "telephone_number": "815-664-5050",
            "fax_number": "815-663-4069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DAVID",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "R.PH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051032176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "362982894001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Hospital Radiology Service, S.C.
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• Lisa Ann Kelty, PT, MHS
• Kelsey Jennifer Klein, LSW
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• Beth Kunkel, O.D.

• Pharmacist in Spring Valley, IL
• Providers in Spring Valley, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.