MEDICARE: JOHNSON WESTPARK DRUGS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	08864	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2068260	OTHER		PK

General Provider Information

NPI Number	:	1164529004
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOHNSON WESTPARK DRUGS

Provider Business Mailing Address
First Line	:	PO BOX 250
Second Line	:
City	:	JACKSONVILLE
State	:	NC
Zip	:	28541-0250
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3060 RICHLANDS HWY
Second Line	:
City	:	JACKSONVILLE
State	:	NC
Zip	:	28540-2926
Country	:	US
Telephone Number	:	910-455-9222
Fax Number	:	910-938-2221

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ANTHONY MEDLIN
Credential	:
Telephone Number	:	910-347-5185

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	12/13/2016

Similar Medicare Providers

1922493766 — MRS. MALLORIE SANDERS WILLIS PHARMD
Practice Location Address:

3060 RICHLANDS HWY
JACKSONVILLE, NC
28540-2926

Practice Phone: 910-455-9222
Practice Fax: 910-938-2221

1629463609 — JOHNSON DRUG WESTPARK
Practice Location Address:

3060 RICHLANDS HWY
JACKSONVILLE, NC
28540-2926

Practice Phone: 910-455-9222
Practice Fax: 910-938-2221

1154481356 — AGAPE HOMECARE PLUS INC.
Practice Location Address:

2142 FIGARO LN
JACKSONVILLE, FL
32210-2926

Practice Phone: 904-502-2666
Practice Fax:

1104061662 — ELM CITY REHABILITATION CENTER, INC.
Practice Location Address:

575 BROOKLYN AVE
JACKSONVILLE, IL
62650-2926

Practice Phone: 217-245-9504
Practice Fax: 217-245-2350

1548125255 — TESSA NOEL HINES
Practice Location Address:

1021 SPRING VILLA DR
JACKSONVILLE, NC
28540-3345

Practice Phone: 919-902-9988
Practice Fax:

1407962582 — MR. MICHAEL C MINER MPT
Practice Location Address:

2453 GUM BRANCH ROAD , SUITE 600
JACKSONVILLE, NC
28540

Practice Phone: 910-353-9800
Practice Fax: 910-455-2083

Directions to “JOHNSON WESTPARK DRUGS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.