DR. SUNNY DALE JOHNSON (NPI# 1184924821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184924821 |
| Entity Type | Individual |
| Full Name | DR. SUNNY DALE JOHNSON |
| Credential | PHARM.D |
| Practice Address |
1028 Route 146 Clifton Park NY 12065-3679 |
| Mailing Address |
45 Hollandale Ln Apt M Clifton Park NY 12065-8212 |
| Practice Telephone | 5183716155 |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2010-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 054705 | NY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508158577 | Sunny Johnson | Social Worker | 3711 Long Beach Blvd Ste 5043, Long Beach, CA 90807-3315 | 2011-05-10 |
| 1114564762 | Sunny Marie Johnson | Urology | 105 N Nappanee St, Elkhart, IN 46514-1957 | 2019-12-03 |
| Street Address |
1028 ROUTE 146 |
| City | CLIFTON PARK |
| State | NY |
| Zip Code | 12065-3679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033399787 | Diane B Brown | Pharmacist | 1028 Route 146, Clifton Park, NY 12065-3679 | 2007-11-10 |
| 1326456393 | Anika Ejaz | Pharmacist | 1028 Route 146, Clifton Park, NY 12065-3679 | 2014-07-23 |
| 1073946810 | Gonca Gul | Pharmacist | 1028 Route 146, Clifton Park, NY 12065-3679 | 2013-08-15 |
| 1154643666 | Jared Michael Burridge | Pharmacist | 1028 Route 146, Clifton Park, NY 12065-3679 | 2010-02-24 |
| 1841476777 | Robert J West | Pharmacist | 1028 Route 146, Clifton Park, NY 12065-3679 | 2008-01-09 |
| 1851571319 | James Joseph Kubiak | Pharmacist | 1028 Route 146, Clifton Park, NY 12065-3679 | 2007-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699395392 | Farah Malek | Pathology | 51 Heritage Point Drvie, Clifton Park, NY 12065 | 2020-04-22 |
| 1679116115 | Mary Beth Bulger | Registered Nurse | Shenendehowa Central School, 970 Rt 146, Clifton Park, NY 12065 | 2019-10-28 |
| 1346801636 | Terri Anne Willman | Physician Assistant | 1783 Route 9 Suite 102, Clifton Park, NY 12065 | 2019-06-26 |
| 1437633732 | Abhishek Chopra | Pharmacist | 74 Squire Lane, Clifton Park, NY 12065 | 2018-09-21 |
| 1295213817 | Ella Kotsyuba | Pharmacist | 1022 Ny-146, Clifton Park, NY 12065 | 2018-08-06 |
| 1659865962 | Dorothy Lacombe Adult Healthcare Nurse Practitioner Pllc | Internal Medicine | 954 Rt 146, Suite 3, Clifton Park, NY 12065 | 2018-06-20 |
| 1245723907 | Catherine Marie Blaauboer I | Licensed Practical Nurse | 206 Alnut Drive, Clifton Park, NY 12065 | 2018-06-07 |
| 1326530627 | Melissa Morgan | Physician Assistant | 29 Mann Blvd, Halfmoon, NY 12065 | 2018-06-01 |
| 1982101465 | Janelle Stannard | Occupational Therapist | 23 Sitterly Road, Clifton Park, NY 12065 | 2018-04-10 |
| 1962903831 | Clifton Park Asc LLC | Clinic/Center | 16 Maxwell Dr., Clifton Park, NY 12065 | 2018-02-26 |
| Find all providers in zip 12065 | ||||
| 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 |
|---|---|---|---|---|
| 1255972766 | Darren Triller | Pharmacist | 38 Berkshire Dr W, Clifton Park, NY 12065-1741 | 2019-10-05 |
| 1801445002 | Elizabeth Rose Pastor | Pharmacist | 31 Broadleaf Dr, Clifton Park, NY 12065-5718 | 2019-09-10 |
| 1437633732 | Abhishek Chopra | Pharmacist | 74 Squire Lane, Clifton Park, NY 12065 | 2018-09-21 |
| 1295213817 | Ella Kotsyuba | Pharmacist | 1022 Ny-146, Clifton Park, NY 12065 | 2018-08-06 |
| 1013461565 | Jason Kubik | Pharmacist | 3d Fulham Rd, Clifton Park, NY 12065-6323 | 2016-08-12 |
| 1700190139 | Trevor Peter Yannace | Pharmacist | 15 Greenridge Dr, Clifton Park, NY 12065-6628 | 2010-07-27 |
| 1588987143 | Kevin A Barnhart | Pharmacist | 939 Route 146 Ste 600, Clifton Park, NY 12065-3662 | 2010-03-10 |
| 1386967990 | Tricia Weed | Pharmacist | 939 Route 146 Building 600, Clifton Park, NY 12065 | 2010-03-10 |
| 1811210032 | Kimberly Dickson | Pharmacist | 1544 Crescent Road, Clifton Park, NY 12065 | 2010-03-02 |
| 1306077029 | Kristen Marie Driscoll | Pharmacist | 121 Old Route 146, Clifton Park, NY 12065-2912 | 2009-07-29 |
| Find all providers in CLIFTON PARK | ||||
| City | CLIFTON PARK |
| Zip Code | 12065 |
Please comment or provide details below to improve the information on DR. SUNNY DALE JOHNSON.
| 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.