Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1316009657 Deactivated / Inactive NPI Male Practitioner

Willis Ray Johnson , BS PHARM REG PHARM

Pharmacist • Jacksonville, NC

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Willis Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 14, 2006
NPI Deactivation Date November 29, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Willis Johnson, BS PHARM REG PHARM was a registered Pharmacist practicing in Jacksonville, NC. Throughout an active medical career spanning 17 years, Willis Johnson provided care at the practice location at 3085 RICHLANDS HWY until profile deactivation on 2023-11-29.

Practice Location & Contact Primary Location

Practice Address

3085 Richlands Hwy
Suite 4 Johnson Westpark Drug

Jacksonville, NC 28540

Telephone 9104559222
Fax 9109382221
Associated Practice Facility / Clinic
🏢 Johnson Westpark Drugs Facility NPI 1164529004

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Jacksonville, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
87 Specialists

Practicing in Jacksonville, NC (9829 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License NC 04797

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1922493766

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 29, 2023

Record deactivated on November 29, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 3085 RICHLANDS HWY, SUITE 4 JOHNSON WESTPARK DRUG, JACKSONVILLE, NC 28540 (Tel: 9104559222)

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Updated Business Mailing Address July 08, 2007

Registered at 268 JUSTICE RD, JACKSONVILLE, NC 28540 (Tel: 9104559454)

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Provider Name / Credentials Updated July 08, 2007

Recorded as WILLIS JOHNSON, BS PHARM REG PHARM

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pharmacist (License #04797 in NC)

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Initial NPI Registration & Enumeration December 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316009657
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 14, 2006
Last Update: July 08, 2007
Deactivation Date: November 29, 2023

Mailing Address

268 Justice Rd

Jacksonville, NC 28540

Phone: 9104559454

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.