GINA TERESA JOHANSON (NPI# 1043841885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043841885 |
| Entity Type | Individual |
| Full Name | GINA TERESA JOHANSON |
| Credential | PHARMD |
| Practice Address |
403 W Broad Ave Flandreau SD 57028-1630 |
| Mailing Address |
47726 Sd Highway 32 Flandreau SD 57028-6719 |
| Practice Telephone | 6059972642 |
| Practice Fax Number | 6059972586 |
| Mailing Telephone | 6059415201 |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2020-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 6573 | SD | Pharmacy Service Providers |
| Street Address |
403 W BROAD AVE |
| City | FLANDREAU |
| State | SD |
| Zip Code | 57028-1630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437188729 | Flandreau Santee Sioux Tribe | Clinic/Center | 403 W Broad Ave, Flandreau, SD 57028 | 2006-07-01 |
| 1275162430 | Tessah Renee Bien | Nurse Practitioner | 403 W Broad Ave, Flandreau, SD 57028-1630 | 2020-04-08 |
| 1427605880 | Chantelle Blue Arm | Social Worker | 403 W Broad Ave, Flandreau, SD 57028-1630 | 2019-08-21 |
| 1558387076 | Flandreau Santee Sioux Tribe | Pharmacy | 403 W Broad Ave, Flandreau, SD 57028-1630 | 2006-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689865081 | John Roy Sivesind | Psychologist | 107 W Broad Ave, Flandreau, SD 57028 | 2007-08-09 |
| 1649200189 | James Shaeffer | Family Medicine | 701 West Broad Ave, Flandreau, SD 57028 | 2006-07-03 |
| 1629018445 | Clay Joseph Pavlis | Psychiatry & Neurology | 809 W Pipestone Ave Ste 8, Flandreau, SD 57028 | 2006-06-08 |
| 1851729552 | Midwest Wellness Institute, Pllc | Clinic/Center | 809 W Pipestone Ave Ste 8, Flandreau, SD 57028 | 2013-10-16 |
| 1407993165 | Flandreau School District #50-3 | Local Education Agency (LEA) | 600 W Community Dr, Flandreau, SD 57028-1060 | 2007-01-31 |
| 1447807466 | Kali Marie Ahlers | Psychologist | 600 W Community Dr, Flandreau, SD 57028-1060 | 2019-08-23 |
| 1487200291 | Suzannah Eileen Cleveland | Speech-Language Pathologist | 600 W Community Dr, Flandreau, SD 57028-1060 | 2019-08-16 |
| 1043785496 | Adriane Voisin | Speech-Language Pathologist | 600 W Community Dr, Flandreau, SD 57028-1060 | 2018-10-11 |
| 1922598770 | Katherine E Krystosek | Specialist/Technologist | 600 W Community Dr, Flandreau, SD 57028-1060 | 2018-05-17 |
| 1124000286 | Dr. Steven L. Headrick, P.C. | Chiropractor | 109 E 2nd Ave, Flandreau, SD 57028-1222 | 2005-11-15 |
| Find all providers in zip 57028 | ||||
| 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 |
|---|---|---|---|---|
| 1457377970 | Sheryl L Vaske | Pharmacist | 701 W Broad Ave, Flandreau, SD 57028-1529 | 2006-07-15 |
| 1619590346 | John Daniel | Pharmacist | 214 N Prairie St, Flandreau, SD 57028-1243 | 2020-05-28 |
| 1689793572 | Roxanne Savaryn-wicks | Pharmacist | 127 E 2nd Ave, Flandreau, SD 57028-1222 | 2007-03-29 |
| 1750425070 | Jeanie Alyson Nold | Pharmacist | 127 E 2nd Ave, Flandreau, SD 57028-1222 | 2007-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537238 | Brant Haase | Pharmacist | 406 N 2nd St, Aberdeen, SD 57401-2707 | 2020-10-28 |
| 1003429713 | Jennifer Bergan | Pharmacist | 4509 S Prince of Peace Pl, Sioux Falls, SD 57103-5830 | 2020-08-24 |
| 1497365407 | Lacey Michoen Williamson | Pharmacist | 900 S Allen Ave, Colman, SD 57017-2027 | 2020-08-04 |
| 1710504188 | Adam O Zayed | Pharmacist | 1000 Health Ctr Rd, Kyle, Sd 57752, Kyle, SD 57752 | 2020-07-01 |
| 1891317590 | Darren Kueter | Pharmacist | 304 W Sd Highway 38 Ste 102, Hartford, SD 57033-2252 | 2020-05-15 |
| 1598327827 | Lucy Manu | Pharmacist | 24276 166th Street; Airport Road, Eagle Butte, SD 57625 | 2019-07-08 |
| 1265995823 | Quentin Clifford Bury | Pharmacist | 1409 6th Ave Se Ste 2, Aberdeen, SD 57401-4950 | 2019-04-10 |
| 1063976025 | Jeff Dixon | Pharmacist | Cheyenne River Health Center 24276 Airport Rd., 166th S, Eagle Butte, SD 57625 | 2019-01-24 |
| 1144715830 | Keaton Mark Moffitt | Pharmacist | 708 S Riverward Dr, Sioux Falls, SD 57106-4604 | 2018-06-26 |
| 1407340540 | Emma Younie | Pharmacist | 515 N Pine St, Lennox, SD 57039-2188 | 2018-06-21 |
| Find all providers with the same taxonomy | ||||
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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.