Provider Demographics
NPI:1295011179
Name:JOHNSTON, SHEILA KAY (PHARMD)
Entity Type:Individual
Prefix:MS
First Name:SHEILA
Middle Name:KAY
Last Name:JOHNSTON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 E HIGHWAY 20
Mailing Address - Street 2:
Mailing Address - City:ONEILL
Mailing Address - State:NE
Mailing Address - Zip Code:68763-2307
Mailing Address - Country:US
Mailing Address - Phone:402-336-2000
Mailing Address - Fax:402-336-3727
Practice Address - Street 1:404 E HIGHWAY 20
Practice Address - Street 2:
Practice Address - City:ONEILL
Practice Address - State:NE
Practice Address - Zip Code:68763-2307
Practice Address - Country:US
Practice Address - Phone:402-336-2000
Practice Address - Fax:402-336-3727
Is Sole Proprietor?:No
Enumeration Date:2011-10-24
Last Update Date:2011-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE12312183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist