| Doctor Name: | JON DAVID JOHNSON |
| NPI Number: | 1225035272 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | BS MLS MBA PD |
| License Number: | 06686 |
| Business Practice Address: | 9050 Poorhouse Rd Port Tobacco, MD - 206773027 |
| Business Phone Number: | 3019343020 |
| Business Fax Number: | 3016097816 |
| Mailing Address: | Po Box 1467, WHITE PLAINS |
| State: | MD |
| Postal Code: | 206951467 |
| Phone Number: | 3017056049 |
| Fax Number: | 3016097816 |
| NPI Enumeration Date: | 07/06/2005 |
| NPI Last Update Date: | 05/14/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1835P1300X |
| License Number: | 06686 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacist |
| Taxonomy Specialization: | Psychiatric |
| Taxonomy Definition: | A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and monitoring patients, recognizing drug-induced problems, and recommending appropriate treatment plans. |