WILLIAM CARLYLE JOHNSON NPI 1881819605

NPI Information

NPI: 1881819605
Provider Name: WILLIAM CARLYLE JOHNSON

Doing Business As: RIVERSIDE MEDICAL PHARMACY

Classification: Pharmacy - 3336S0011X
Entity Type: Organization

Specialization: Specialty Pharmacy

Address:
710 MADISON ST
SUITE C
SHELBYVILLE, TN
ZIP 37160
Phone: (931) 536-1414
Get Directions

WILLIAM CARLYLE JOHNSON is a specialty pharmacy pharmacy in Shelbyville, TN. The provider is a pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. WILLIAM CARLYLE JOHNSON NPI is 1881819605. The provider is registered as an organization entity type.
The provider Is Doing Business As Riverside Medical Pharmacy.

The provider's business location address is:

710 MADISON ST
SUITE C
SHELBYVILLE, TN
ZIP 37160-519
Phone: (931) 536-1414
Fax: (931) 684-6999

The provider's authorized official is William Carlyle Johnson .
The authorized official title is Pharmacist and has the following contact phone number (931) 536-1414.

The enumeration date for this NPI number is 4/16/2007 and was last updated on 4/16/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies	5884560001	TENNESSEE	No
2	3336S0011X	Pharmacy	Specialty Pharmacy			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1455165	MEDICAID	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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