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ISLAND PHARMACY
NPI 1861406118
Pharmacy - Community/Retail Pharmacy in Statesville, NC

Active since July 29, 2006CLIA 34D2236484 · Waiver
2187 OLD MOUNTAIN RD, STATESVILLE, NC 28625(704) 873-0000 Get Directions Write a Review

NPPES record last updated: February 20, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Island Pharmacy NPPES

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

ISLAND PHARMACY (NPI 1861406118) is a healthcare organization registered as a community/retail pharmacy in Statesville, North Carolina and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through September 16, 2027 and lists Kimberly Mitchell, Vp Pharmacy Manager, as its authorized official.

NPPES Registry Identity

NPI1861406118
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMITCHELL AND JOHNSON PHCY INC
Location Address2187 OLD MOUNTAIN RDStatesville, NC 28625-1631
Mailing Address2187 Old Mountain RdStatesville, NC 28625-1631 · (704) 873-0000
Phone(704) 873-0000
Organization SubpartNo
Authorized OfficialKimberly MitchellVp Pharmacy Manager · (828) 632-3545
Enumeration DateJuly 29, 2006
Last NPPES UpdateFebruary 20, 2017
✔ NPI 1861406118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in NC · 09348
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
2187 OLD MOUNTAIN RD, Statesville, NC 28625
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Other Names 1

Doing Business AsIsland Pharmacy

Other Identifiers 1

Other2065894Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.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 34D2236484

Mitchell & Johnnson Pharmacy, Inc Dba Island Pharmacy · Statesville, NC
Active · expires Sep 16, 2027
CLIA Number34D2236484
Laboratory TypePharmacy
Certificate Effective DateSeptember 17, 2025
Certificate Expiration DateSeptember 16, 2027
Laboratory DirectorKimberly K. Mitchell
Laboratory Phone(704) 873-0000
Laboratory LocationMitchell & Johnnson Pharmacy, Inc Dba Island Pharmacy2181-A Old Mountain Road, Statesville, NC 28687
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Mitchell And Johnson Phcy Inc's NPI number?

The NPI number for Mitchell And Johnson Phcy Inc is 1861406118. It was assigned to this organization in the NPPES registry on July 29, 2006. The provider is doing business as Island Pharmacy.

Where is Mitchell And Johnson Phcy Inc located?

Mitchell And Johnson Phcy Inc is located at 2187 Old Mountain Rd, Statesville, NC 28625. The listed phone number is (704) 873-0000.

What is Mitchell And Johnson Phcy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Mitchell And Johnson Phcy Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2236484) is associated with this NPI, valid through September 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mitchell And Johnson Phcy Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 47 other insurers list Mitchell And Johnson Phcy Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mitchell And Johnson Phcy Inc was last updated on February 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.