BLAKE RYAN JOHNSON (NPI# 1174086847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174086847 |
| Entity Type | Individual |
| Full Name | BLAKE RYAN JOHNSON |
| Credential | PHARMD |
| Practice Address |
1924 Alcoa Hwy Knoxville TN 37920-1511 |
| Practice Telephone | 8653053436 |
| Practice Fax Number | 8653057192 |
| Mailing Telephone | 8653053436 |
| Mailing Fax Number | 8653057192 |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2019-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 20432 | AL | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 72141 | TN | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | ALABAMA BOARD OF PHARMACY LICENSE | 20432 | 01 |
| TN | TENNESSEE BOARD OF PHARMACY LICENSE | 72141 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154733004 | Blake Ashton Johnson | Emergency Medicine | 13737 Noel Rd Ste 1200, Dallas, TX 75240-1335 | 2014-05-27 |
| 1497389142 | Blake Elliot Johnson | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd Stop 7200, Dallas, TX 75390-7200 | 2020-03-02 |
| 1396393021 | Blake Jeffrey Johnson | Social Worker | 5400 Kirkwood Blvd Sw, Cedar Rapids, IA 52404-5216 | 2019-08-27 |
| 1326526906 | Blake Johnson | Occupational Therapist | 2012 S Jones Blvd, Las Vegas, NV 89146-3151 | 2018-08-05 |
| 1659889368 | Blake Johnson | Physician Assistant | 804 22nd Ave, Kearney, NE 68845-2206 | 2018-01-16 |
| 1164938288 | Blake Allan Johnson | Student in an Organized Health Care Education/Training Program | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2017-12-27 |
| 1275075269 | Blake Quinton Johnson | Social Worker | 506 W Jackman St, Lancaster, CA 93534-2531 | 2016-11-08 |
| 1881147809 | Blake Emil Johnson | Pharmacist | 1501 San Pedro Dr Se, Pharmacy Service 119, Albuquerque, NM 87108-5153 | 2016-07-26 |
| 1881077980 | Blake Alan Johnson | Dentist | 124 3rd St, Marietta, OH 45750-3108 | 2015-07-07 |
| 1265824254 | Blake Johnson | Specialist/Technologist | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2015-02-27 |
| Street Address |
1924 ALCOA HWY |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37920-1511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588667786 | Kathleen B Hudson | Radiology | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2005-05-23 |
| 1356952675 | Kara B Caldwell | Registered Nurse | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2020-08-11 |
| 1366052672 | Anne Camille Reynolds | Physician Assistant | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2020-08-03 |
| 1194334748 | Rachel Taylor | Nurse Practitioner | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2020-07-29 |
| 1619585783 | Savannah Roberts Kidd | Physician Assistant | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2020-07-15 |
| 1508482811 | Anna Love | Pharmacist | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2020-06-23 |
| 1578183067 | Mackenzie Travis | Registered Nurse | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2020-04-24 |
| 1942820493 | Cody Miller | Radiologic Technologist | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2020-04-24 |
| 1396374666 | Anna Elisabeth Brewton | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2020-04-07 |
| 1821627423 | Hannah Marie Bernstein | Registered Nurse | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2020-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033747639 | Paul Connor Shanahan | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, U-109, Knoxville, TN 37920 | 2020-03-30 |
| 1952938904 | Eric Becker | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, U-60, Knoxville, TN 37920 | 2020-03-26 |
| 1174028336 | Taylor Boulware Tapscott | Nurse Practitioner | 3118 Alcoa Highway, Knoxville, TN 37920 | 2018-03-28 |
| 1255860672 | Eric Christopher Riedinger | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Hwy., Box U-11, Knoxville, TN 37920 | 2017-06-08 |
| 1740639277 | Claudia Nieuwoudt | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, Box U-27, Knoxville, Tn 37920, Knoxville, TN 37920 | 2016-06-06 |
| 1841657699 | Frances D Thompson | Physical Therapy Assistant | 717 Lower Pond Way, Knoxville, TN 37920 | 2016-01-25 |
| 1720457989 | Independent Physical Therapy, LLC | Occupational Therapist | 7558 Mountain Grove Dr, Knoxville, TN 37920 | 2015-09-17 |
| 1982071189 | Ryan Dulling | Physical Therapist | 4011 Chapman Hwy Ste J, Knoxville, TN 37920 | 2015-08-24 |
| 1154705614 | Kailyn Sorensen | Physical Therapist | 1926 Alcoa Hwy Ste 200, Knoxville, TN 37920 | 2015-07-15 |
| 1093196420 | James Michael Hart II | Family Medicine | 1925 Alcoa Hwy # 56, Knoxville, TN 37920 | 2015-06-11 |
| Find all providers in zip 37920 | ||||
| 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 |
|---|---|---|---|---|
| 1841805637 | Jenifer C. Jennings | Pharmacist | 615 State St Apt 201, Knoxville, TN 37902-1243 | 2020-09-09 |
| 1093327959 | Eric Cunningham | Pharmacist | 10929 Twin Harbour Dr, Knoxville, TN 37934-7002 | 2020-08-20 |
| 1083234488 | Angela Melton | Pharmacist | 7655 S Northshore Dr, Knoxville, TN 37919-8004 | 2020-04-26 |
| 1881154995 | John Murphy | Pharmacist | 421 Ferret Rd, Knoxville, TN 37934-4036 | 2019-03-23 |
| 1053876896 | Believe Rx LLC | Pharmacist | 9627 Countryside Center Ln, Knoxville, TN 37931-4765 | 2019-02-06 |
| 1619469921 | William Ray Copeland | Pharmacist | 3113 Ginn Dr Apt 1, Knoxville, TN 37920-7322 | 2018-06-01 |
| 1235626763 | Brandon Lee Sipe | Pharmacist | 2501 University Commons Way, Knoxville, TN 37919-5584 | 2018-04-19 |
| 1134658230 | Nicole Elaine Roberts | Pharmacist | 3588 Workman Rd Suite 101, Knoxville, TN 37921 | 2017-06-12 |
| 1033660428 | Krista King | Pharmacist | 1227 Lake Heritage Way, Apt 305, Knoxville, TN 37922-7709 | 2016-10-20 |
| 1225497852 | Martin Wade Register Jr. | Pharmacist | 3527 Charter Oak Way, Knoxville, TN 37922-9425 | 2016-02-10 |
| Find all providers in KNOXVILLE | ||||
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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.