MR. OWEN W JOHNSON (NPI# 1003037235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003037235 |
| Entity Type | Individual |
| Full Name | MR. OWEN W JOHNSON |
| Credential | RPH |
| Practice Address |
4445 N. Nathan Lane Plymouth MN 55442 |
| Mailing Address |
8800 North Brook Circle Brooklyn Park MN 55428 |
| Practice Telephone | 7635570377 |
| Mailing Telephone | 7635368042 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 111477 | MN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063832079 | Owen Johnson | Internal Medicine | 3118 Barry Trace Ct, Dublin, OH 43017-2212 | 2014-04-17 |
| 1346292059 | Owen Cannon Johnson | Optometrist | 302 Church St, A, Georgetown, SC 29440-2406 | 2006-05-17 |
| 1154733988 | Owen Johnson | Dentist | 1048 Union St, Bangor, ME 04401-3016 | 2014-05-28 |
| 1255426722 | Owen W. Johnson | Dentist | 203 Park Ave, Pine River, MN 56474 | 2006-10-03 |
| 1598867038 | Owen Johnson | Plastic Surgery | 1650 Cochrane Cir, Fort Carson, CO 80913 | 2006-09-04 |
| Street Address |
4445 N. NATHAN LANE |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831581172 | Susan Anderson | Pharmacist | 4005 Vinewood Lane N, Walgreens 02767, Plymouth, MN 55442 | 2015-02-24 |
| 1104121151 | Melody Joy Richards | Counselor | 13210 45th Ave North, Plymouth, MN 55442 | 2011-01-24 |
| 1912207556 | Pro Medical Services, Inc. | Home Health | 4190 Vinewood Lane N, Ste #111, Plymouth, MN 55442 | 2010-10-29 |
| 1245564269 | Angela Mae | Massage Therapist | 4455 North Highway 169 Suite 200, Four Seasons Family Chiropractic Clinic, Plymouth, MN 55442 | 2009-09-23 |
| 1518174218 | Four Seasons Family Chiropractic Clinic | Chiropractor | 4455 Hwy 169 N, Ste 200, Plymouth, MN 55442 | 2007-05-16 |
| 1750502621 | Michelle Anne Schulz | Pharmacist | 4445 Nathan Lane N, Plymouth, MN 55442 | 2007-05-01 |
| 1336149095 | Michael Bradley Shinder | Chiropractor | 4455 N Hwy 169, Suite 200, Plymouth, MN 55442 | 2005-07-26 |
| 1639549025 | Bendu Seth | Massage Therapist | 7710 Brooklyn Blvd, Suite 201e, Brooklyn Park, MN 55442 | 2015-09-29 |
| 1902286222 | Bao Yang | Massage Therapist | 7710 Brooklyn Blvd, Brooklyn Park, MN 55442 | 2015-06-02 |
| 1144421835 | Valentini Chiropractic | Chiropractor | 4455 N Hwy 169, Suite 200, Plymouth, MN 55442 | 2007-05-30 |
| Find all providers in zip 55442 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| 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. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194331801 | Mohamed Nasser | Pharmacist | 48923 Tuscan Hills Dr, Plymouth, MI 48170-4885 | 2020-09-17 |
| 1114552379 | Molly M Mahoney | Pharmacist | 4110 Juneau Lane N, Plymouth, MN 55446 | 2020-03-09 |
| 1396383964 | Ranim Altaki | Pharmacist | 4980 Garland Ct N Apt C, Plymouth, MN 55446-2458 | 2019-12-14 |
| 1811547748 | Steven N Wolff | Pharmacist | Walmart #1978, 2505 North Oak Drive, Plymouth, IN 46563 | 2019-09-12 |
| 1467001917 | Timothy Charles Krause | Pharmacist | 4360 Kingsview Ln N, Plymouth, MN 55446-2734 | 2019-09-07 |
| 1932663234 | Allison Barker | Pharmacist | 6055 Nathan Ln N # 200a, Plymouth, MN 55442-1674 | 2019-01-31 |
| 1114398948 | Sapna Sutariya | Pharmacist | 47751 N Territorial Rd, Plymouth, MI 48170 | 2015-10-20 |
| 1831581172 | Susan Anderson | Pharmacist | 4005 Vinewood Lane N, Walgreens 02767, Plymouth, MN 55442 | 2015-02-24 |
| 1427453125 | Samuel David Fine | Pharmacist | 4070 Goldenrod Ln, Plymouth, MN 55441 | 2014-10-24 |
| 1073912630 | Rachel Riley | Pharmacist | 4175 Vinewood Ln N # 16191, Plymouth, MN 55442-2624 | 2014-08-20 |
| Find all providers in PLYMOUTH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.