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BRIAN A JOHNSON MD
NPI 1467535799
Non-Pharmacy Dispensing Site in Winamac, IN

Active since October 23, 2006
613 TERRACE DR, WINAMAC, IN 46996(574) 946-6644 Get Directions Write a Review

NPPES record last updated: June 20, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brian A Johnson Md NPPES

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

BRIAN A JOHNSON MD (NPI 1467535799) is a healthcare organization registered as a non-pharmacy dispensing site in Winamac, Indiana and active in the NPI registry since October 2006. The organization lists Direndia Shackelford, Managed Care Specialist, as its authorized official.

NPPES Registry Identity

NPI1467535799
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameBRIAN A JOHNSON MD PC
Location Address613 TERRACE DRWinamac, IN 46996-1111
Mailing Address613 Terrace DrWinamac, IN 46996-1111 · (574) 946-6644
Phone(574) 946-6644
Organization SubpartNo
Authorized OfficialDirendia ShackelfordManaged Care Specialist · (800) 654-0889
Enumeration DateOctober 23, 2006
Last NPPES UpdateJune 20, 2008
✔ NPI 1467535799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License✔ Licensed in IN · 5003424A
Definition
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.)
613 TERRACE DR, Winamac, IN 46996
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Other Names 1

Doing Business AsBrian A Johnson Md

Other Identifiers 2

Other1535561Other Id Number-commercial Number
Medicaid100210710IN

Other Providers at the Same Location NPPES 4

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

DR. BRIAN ALAN JOHNSON MD
Family Medicine
613 TERRACE DR
WINAMAC, IN 46996
Pulaski County (574) 946-6644
BRIAN A JOHNSON MD PC
Family Medicine
613 TERRACE DR
WINAMAC, IN 46996
Pulaski County (574) 946-6644
ALLMAN FAMILY PRACTICE,P.C.
Family Medicine
613 TERRACE DR
WINAMAC, IN 46996
Pulaski County (574) 946-6677
LAFAYETTE PAIN CARE PC
Durable Medical Equipment & Medical Supplies
613 TERRACE DR
WINAMAC, IN 46996
Pulaski County (574) 946-4290

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian A Johnson MD PC's NPI number?

The NPI number for Brian A Johnson MD PC is 1467535799. It was assigned to this organization in the NPPES registry on October 23, 2006. The provider is doing business as Brian A Johnson MD.

Where is Brian A Johnson MD PC located?

Brian A Johnson MD PC is located at 613 Terrace Dr, Winamac, IN 46996. The listed phone number is (574) 946-6644.

What is Brian A Johnson MD PC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Brian A Johnson MD PC was last updated on June 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.