Mr Shane P Johnson, PHARMD is a
Pharmacist based in Spring Green, Wisconsin. Mr Shane P Johnson is licensed to practice in Wisconsin (license number 15782-040) and his current practice location is
208 E Jefferson St, Spring Green, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(608) 588-2541.
NPI number for Mr Shane P Johnson is 1306172507 and his current mailing address is 208 E Jefferson St, Spring Green, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1306172507.
Healthcare Provider's Profile
Full Name | Mr Shane P Johnson |
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Gender | Male |
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Speciality | Pharmacist |
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Location | 208 E Jefferson St, Spring Green, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1306172507
- Provider Enumeration Date: 10/22/2009
- Last Update Date: 10/22/2009
Medical Identifiers
Medical identifiers for Mr Shane P Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306172507 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
183500000X | Pharmacist | 15782-040 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Shane P Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Shane P Johnson, PHARMD 208 E Jefferson St, Spring Green, WI 53588-8002 Ph: (608) 588-2541 | Mr Shane P Johnson, PHARMD 208 E Jefferson St, Spring Green, WI 53588-8002 Ph: (608) 588-2541 |
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