Provider Demographics
NPI:1164878591
Name:JOHNSON'S PHARMACEUTICAL SERVICES INC
Entity Type:Organization
Organization Name:JOHNSON'S PHARMACEUTICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:412-655-2151
Mailing Address - Street 1:600 OLD CLAIRTON RD
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILLS
Mailing Address - State:PA
Mailing Address - Zip Code:15236-4313
Mailing Address - Country:US
Mailing Address - Phone:412-655-2151
Mailing Address - Fax:412-655-3635
Practice Address - Street 1:600 OLD CLAIRTON RD
Practice Address - Street 2:
Practice Address - City:PLEASANT HILLS
Practice Address - State:PA
Practice Address - Zip Code:15236-4313
Practice Address - Country:US
Practice Address - Phone:412-655-2151
Practice Address - Fax:412-655-3635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-04
Last Update Date:2016-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP443551183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0017209000001Medicaid
5368440001Medicare PIN