CHET JOHNSON DRUG CLINICAL SERVICES, LLC
NPI 1013610641
Clinic/Center - Primary Care in Amery, WI

Q: What is Chet Johnson Drug Clinical Services, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since March 23, 2023CLIA 52D2111816 · Waiver

204 KELLER AVE N, AMERY, WI 54001(715) 268-8121(715) 268-4733 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 22, 2026, Feb 3, 2026, Aug 6, 2025 and 1 more (4 updates tracked since 2023).

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About Chet Johnson Drug Clinical Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHET JOHNSON DRUG CLINICAL SERVICES, LLC (NPI 1013610641) is a healthcare organization registered as a primary care in Amery, Wisconsin and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through April 14, 2028 and lists Matthew Johnson, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1013610641

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameCHET JOHNSON DRUG CLINICAL SERVICES, LLC

Location Address204 KELLER AVE NAmery, WI 54001-1036

Mailing AddressPo Box 17Amery, WI 54001-0017 · (715) 268-8121 · Fax (715) 268-4733

Phone(715) 268-8121

Fax(715) 268-4733

Organization SubpartYesParent: Chet Johnson Drugs, Inc.

Authorized OfficialMatthew JohnsonManaging Member · (715) 268-8121

Enumeration DateMarch 23, 2023

Last NPPES UpdateApril 22, 20264 updates tracked since enumeration

NPPES CertifiedApril 22, 2026

✔ NPI 1013610641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

Also ListedPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy 1835P0018X

Also ListedPharmacy · Clinic PharmacyTaxonomy 3336C0002X

204 KELLER AVE N, Amery, WI 54001

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D2111816

Chet Johnson Drug Inc · Amery, WI

Active · expires Apr 14, 2028

CLIA Number52D2111816

Laboratory TypePharmacy

Certificate Effective DateApril 15, 2026

Certificate Expiration DateApril 14, 2028

Laboratory DirectorMr. Matthew Johnson

Laboratory Phone(715) 268-8121

Laboratory LocationChet Johnson Drug Inc204 Keller Ave, Amery, WI 54001

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHET JOHNSON DRUGS, INC.

Pharmacy (Community/Retail Pharmacy)