MR. PHILLIP RYAN JOHNSON (NPI# 1083964761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083964761 |
| Entity Type | Individual |
| Full Name | MR. PHILLIP RYAN JOHNSON |
| Credential | R.PH. |
| Practice Address |
1415 N Arizona Ave Gilbert AZ 85233-1616 |
| Mailing Address |
672 E Buena Vista Dr Chandler AZ 85249-3972 |
| Practice Telephone | 4802930052 |
| Practice Fax Number | 4802930060 |
| Mailing Telephone | 2148832163 |
| Mailing Fax Number | 2142424321 |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2012-09-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 9769 | AZ | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487035457 | Phillip Isaac Johnson | Dentist | 914 Pheasant Dr, Midlothian, TX 76065-6790 | 2015-06-15 |
| 1740624436 | Phillip D Johnson | Counselor | 821 W South St Ste F, Kalamazoo, MI 49007-4684 | 2013-04-24 |
| 1710185376 | Phillip W Johnson | Orthotist | 3635 S Main St, Suite A, Blacksburg, VA 24060-7019 | 2007-07-05 |
| 1164540142 | Phillip H Johnson | Dentist | 8000 Coit Rd Ste 200, Plano, TX 75025-6820 | 2007-03-27 |
| 1659356921 | Phillip M Johnson | Family Medicine | 800 Highlander Pt Dr, Ste 300, Floyds Knobs, IN 47119 | 2005-12-09 |
| 1134742109 | Phillip M. Johnson | Behavioral Analyst | 4746 11th Ave Ne Ste 102, Seattle, WA 98105-4660 | 2020-05-25 |
| 1760024111 | Phillip Gregory Johnson | Case Manager/Care Coordinator | 1308 N Leona St, Appleton, WI 54911-4232 | 2019-10-16 |
| 1457824849 | Phillip Johnson | Student in an Organized Health Care Education/Training Program | 1738 S Tremont St, Oceanside, CA 92054-5309 | 2019-01-08 |
| 1346566932 | Phillip Johnson II | Counselor | 4522 Fredericksburg Rd, Suite A-45, San Antonio, TX 78201-6521 | 2010-04-08 |
| 1184703464 | Phillip E Johnson | Optometrist | 3455 Peachtree Industrial Blvd, Suite 845, Duluth, GA 30096-6501 | 2006-11-06 |
| Street Address |
1415 N ARIZONA AVE |
| City | GILBERT |
| State | AZ |
| Zip Code | 85233-1616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932219532 | Costco Wholesale Corporation | Pharmacy | 1415 N Arizona Ave, Gilbert, AZ 85233 | 2006-08-30 |
| 1871088021 | Yale Tosh Thomas | Optometrist | 1415 N Arizona Ave, Gilbert, AZ 85233-1616 | 2018-06-28 |
| 1679966345 | Costco Wholesale Corporation | Hearing Aid Equipment | 1415 N Arizona Ave, Gilbert, AZ 85233-1616 | 2015-03-05 |
| 1306236450 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1415 N Arizona Ave, Gilbert, AZ 85233-1616 | 2015-01-28 |
| 1043611445 | Mariam Awad | Pharmacist | 1415 N Arizona Ave, Gilbert, AZ 85233-1616 | 2014-09-04 |
| 1952700882 | Mark Lavigne | Pharmacist | 1415 N Arizona Ave, Gilbert, AZ 85233-1616 | 2014-08-15 |
| 1164857934 | Thomas Farmer | Pharmacist | 1415 N Arizona Ave, Gilbert, AZ 85233-1616 | 2013-09-11 |
| 1932444817 | Nina Hoang Le | Pharmacist | 1415 N Arizona Ave, Gilbert, AZ 85233-1616 | 2012-12-04 |
| 1710215322 | Robert David Messali | Pharmacist | 1415 N Arizona Ave, Gilbert, AZ 85233-1616 | 2009-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467063594 | Specialized Education of Arizona, Inc. | Day Training, Developmentally Disabled Services | 875 S. Coooper Rd., Gilbert, AZ 85233 | 2020-08-12 |
| 1336649425 | Jason Diminico | Behavior Technician | 82 W Gilbert Road, Gilbert, AZ 85233 | 2018-02-15 |
| 1508378274 | L & S Az L.L.C. | Family Medicine | 201 W. Guadalupe Rd #102, Gilbert, AZ 85233 | 2017-11-02 |
| 1740799022 | Angel Day Care LLC | Clinic/Center | 815 W Wagner Ct, Gilbert, AZ 85233 | 2017-09-29 |
| 1235656356 | Jason Karstens | Physical Therapist | 1447 West Elliot Road, Suite 101, Gilbert, AZ 85233 | 2017-08-29 |
| 1538684956 | Independent By Design, Pllc | Occupational Therapy Assistant | 835 W Warner Rd Suite 101 - 623, Gilbert, AZ 85233 | 2017-08-07 |
| 1619406998 | Marri Keller | Physical Therapist | 690 Copper Rd, Suite 101, Gilbert, AZ 85233 | 2017-06-08 |
| 1538692470 | Ocotillo Medical Group LLC | Chiropractor | 2815 E. Ocotillo Rd, #4, Chandler, AZ 85233 | 2017-04-07 |
| 1922544634 | Riann Naomi Simmons | Nurse Practitioner | 800 W Elliot Road, Suite 103, Gilbert, AZ 85233 | 2017-01-19 |
| 1154793685 | Laura Beth Masters | Nurse Practitioner | Shelley Staymates, 890 W Elliott #120, Gilbert, AZ 85233 | 2015-10-23 |
| Find all providers in zip 85233 | ||||
| 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 |
|---|---|---|---|---|
| 1902412414 | Kendi Kocbeck | Pharmacist | 2486 E Boston St, Gilbert, AZ 85295-2301 | 2020-09-20 |
| 1285259812 | Sara Garcia | Pharmacist | 2501 E Parkview Dr, Gilbert, AZ 85295-2345 | 2020-06-09 |
| 1922510627 | Quang N Tien | Pharmacist | 119 W Mesquite St, Gilbert, AZ 85233-6412 | 2017-11-02 |
| 1053854489 | Joseph Thomas Nofel | Pharmacist | 3860 E Redfield Ct, Gilbert, AZ 85234-3207 | 2016-12-03 |
| 1740632991 | Cameron Beatty | Pharmacist | 2727 S Cupertino Dr, Gilbert, AZ 85295-3687 | 2016-07-11 |
| 1740630490 | Charles Curtis | Pharmacist | 2581 E Orleans Dr, Gilbert, AZ 85298-2337 | 2016-06-14 |
| 1114391893 | Ritchey Noele Sewell | Pharmacist | 2089 E Arabian Dr, Gilbert, AZ 85296-3332 | 2015-11-18 |
| 1235506437 | Danny Younglam | Pharmacist | 2466 E Harrison Ct, Gilbert, AZ 85295-9025 | 2015-08-24 |
| 1801272943 | Allie Gaetano | Pharmacist | 455 S Recker Rd, Apt 1019, Gilbert, AZ 85296-1206 | 2015-07-30 |
| 1639557036 | James Walter Foy | Pharmacist | 3926 E Jude Ln, Gilbert, AZ 85298-8513 | 2015-05-18 |
| Find all providers in GILBERT | ||||
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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.