Provider Demographics
NPI:1568178143
Name:JOHNS, JAMES G (PHARMD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:G
Last Name:JOHNS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4205 STEIN DR
Mailing Address - Street 2:
Mailing Address - City:CRANBERRY TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-4529
Mailing Address - Country:US
Mailing Address - Phone:412-303-9485
Mailing Address - Fax:
Practice Address - Street 1:2500 LOVI RD
Practice Address - Street 2:
Practice Address - City:FREEDOM
Practice Address - State:PA
Practice Address - Zip Code:15042-9398
Practice Address - Country:US
Practice Address - Phone:724-683-3700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-26
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP456413183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist