Provider Demographics
NPI:1750317608
Name:JOHNSTON, THOMAS CAREY JR (RPH)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:CAREY
Last Name:JOHNSTON
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 AUGHWICK RD
Mailing Address - Street 2:
Mailing Address - City:MC CONNELLSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17233-8246
Mailing Address - Country:US
Mailing Address - Phone:717-261-7651
Mailing Address - Fax:
Practice Address - Street 1:54 E KING ST
Practice Address - Street 2:
Practice Address - City:SHIPPENSBURG
Practice Address - State:PA
Practice Address - Zip Code:17257-1308
Practice Address - Country:US
Practice Address - Phone:717-532-5812
Practice Address - Fax:717-532-9265
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP026902L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA3949469OtherNABP ID
PA1017791Medicaid
PA3949469OtherNABP ID