JOHNSON KATTATHRA (NPI# 1114337581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114337581 |
| Entity Type | Individual |
| Full Name | JOHNSON KATTATHRA |
| Practice Address |
620 E Chicago St Coldwater MI 49036 |
| Mailing Address |
16 Shoshoni Pass Coldwater MI 49036 |
| Practice Telephone | 5172793310 |
| Practice Fax Number | 5172793365 |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2014-05-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
5302040125 | MI | Pharmacy Service Providers |
| Street Address |
620 E CHICAGO ST |
| City | COLDWATER |
| State | MI |
| Zip Code | 49036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194295790 | Jacqueline Hensell | Physical Therapist | 320 East Chicago St, Coldwater, MI 49036 | 2018-11-27 |
| 1285104869 | Jaycie Rose Littley | Physical Therapist | 320 E Chicago Street, Coldwater, MI 49036 | 2018-11-27 |
| 1881161651 | David Linklater | Physical Therapist | Promedica Coldwater Regional Hospital, 274 East Chicago Street, Coldwater, MI 49036 | 2018-10-30 |
| 1144733734 | Luke Norcross | Social Worker | 200 Vista Drive, Coldwater, MI 49036 | 2017-11-06 |
| 1508312471 | Tiffany Vanluven | Rehabilitation Practitioner | 528 West Chicago St. Atp13, Coldwater, MI 49036 | 2016-08-30 |
| 1477904175 | Shawn Talbot | Psychologist | 300 Orleans Blvd, Coldwater, MI 49036 | 2016-06-24 |
| 1124406863 | Alexys Wolfinger | Rehabilitation Practitioner | 528 W. Chicago St. Apt. 20, Coldwater, MI 49036 | 2015-05-14 |
| 1194118968 | Kim Clemens | Rehabilitation Practitioner | 465 N Michigan Ave., Coldwater, MI 49036 | 2015-03-18 |
| 1205238854 | Coldwater Family Dentistry P.C. | Dentist | 575 N Union City Road, Coldwater, MI 49036 | 2014-09-25 |
| 1023446531 | Kelly Phair | Specialist | 265 N. Michigan Ave, Coldwater, MI 49036 | 2013-10-18 |
| Find all providers in zip 49036 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205246840 | Ben Culler | Pharmacist | 620 E Chicago Rd, Coldwater, MI 49036-9497 | 2014-05-05 |
| 1275943912 | Jeremy Lewis | Pharmacist | 620 E Chicago Rd, Coldwater, MI 49036-9497 | 2014-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477184125 | Lillian Atty | Pharmacist | 1484 Rivona Dr, Waterford, MI 48328 | 2020-01-31 |
| 1598249492 | Kayvon Anthony Parvizi | Pharmacist | G-2333 Center Rd, Burton, MI 48519 | 2018-09-18 |
| 1376039826 | Alexander J Hessler I | Pharmacist | 5121 S Westnedge Ave., Kalamazoo, MI 49008 | 2018-07-09 |
| 1407396831 | Michael Keller | Pharmacist | 6329 Red Rock Ct, Norton Shores, MI 49444-8794 | 2017-03-04 |
| 1366846024 | John Nguyen | Pharmacist | 747 E 16th St, Holland, MI 49423 | 2014-10-09 |
| 1720494529 | Shelby Chopp | Pharmacist | 64670 Windrose Way, Lawton, MI 49065-9238 | 2014-07-01 |
| 1124431879 | Ann E Ziel | Pharmacist | 2799 10 Mile Rd Ne # Rde, Rockford, MI 49341-9100 | 2014-06-10 |
| 1316350887 | Jeffrey John Wieczorek | Pharmacist | 9416 Wildwood Lake Dr, Whitmore Lake, MI 48189-9430 | 2014-06-03 |
| 1467863993 | Tom Zoyiopoulos | Pharmacist | 1201 Lears, Indian River, MI 49749 | 2014-05-19 |
| 1063823698 | Waqas Akhtar | Pharmacist | 316 N Drake Rd, Kalamazoo, MI 49009-1106 | 2014-05-16 |
| 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.