Brian A Johnson Md Pc
Non-pharmacy Dispensing Site
613 Terrace Dr, Winamac
Indiana, 46996-1111
574-946-6644 Brian A Johnson Md Pc is a Non-pharmacy Dispensing Site in Winamac, Indiana. It is located at 613 Terrace Dr, Winamac and it's customer support contact number is 574-946-6644. The authorized person of Brian A Johnson Md Pc is Direndia Shackelford who is Managed Care Specialist of the pharmacy and his contact number is 800-654-0889. Active license number of Brian A Johnson Md Pc is 5003424A for Non-pharmacy Dispensing Site in Indiana.
Brian A Johnson Md Pc is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Pharmacy Details:
Brian A Johnson Md Pc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Brian A Johnson Md Pc |
| Type: | Non-pharmacy Dispensing Site |
| Location: | 613 Terrace Dr, Winamac,
Indiana, 46996-1111 |
| Phone: | 574-946-6644 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Direndia Shackelford |
| Position: | Managed Care Specialist |
| Contact Number: | 800-654-0889 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1467535799 |
| NPI Enumeration Date: | 23 Oct, 2006 |
| NPI Last Update On: | 20 Jun, 2008 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Brian A Johnson Md Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| Non-pharmacy Dispensing Site | 5003424A | Indiana | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1535561 | Other | | Other Id Number-commercial Number |
| 100210710 | Medicaid | Indiana | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 613 Terrace Dr,
Winamac, Indiana |
| Zip: | 46996-1111 |
| Phone Number: | 574-946-6644 |
Patients can reach Brian A Johnson Md Pc at
613 Terrace Dr, Winamac, Indiana or can
call on customer care at 574-946-6644.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.