BLAIR C JOHNSON (NPI# 1194916171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194916171 |
| Entity Type | Individual |
| Full Name | BLAIR C JOHNSON |
| Credential | RPH |
| Practice Address |
13855 Rogers Dr Rogers MN 55374-4408 |
| Practice Telephone | 7634286080 |
| Mailing Telephone | 7634286080 |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2007-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 114464 | MN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639722564 | Blair Johnson | Case Manager/Care Coordinator | 4762 Woodview Dr, Del City, OK 73115-4224 | 2019-07-19 |
| 1538553797 | Blair Johnson | Physical Therapist | 1815 E Ireland Rd Ste 100, South Bend, IN 46614-2845 | 2015-03-26 |
| 1982989661 | Blair Johnson | Counselor | 418 Eureka St, Weatherford, TX 76086-5439 | 2011-10-13 |
| 1417029158 | Blair Johnson | Dentist | 1120 Oak Ridge Dr, Eau Claire, WI 54701-6133 | 2006-11-15 |
| 1891894200 | Blair R Johnson | Internal Medicine | 41 Mall Rd, Burlington, MA 01805-0001 | 2006-09-22 |
| 1124082292 | Blair R Johnson | Physician Assistant | 420 W Rowland St, Covina, CA 91723-2943 | 2006-04-14 |
| Street Address |
13855 ROGERS DR |
| City | ROGERS |
| State | MN |
| Zip Code | 55374-4408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679630065 | Supervalu Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 13855 Rogers Dr, Rogers, MN 55374-4408 | 2007-01-03 |
| 1053735787 | Loren Bell | Pharmacist | 13855 Rogers Dr, Rogers, MN 55374-4408 | 2014-02-17 |
| 1831443464 | Cheri Wyman | Pharmacist | 13855 Rogers Dr, Rogers, MN 55374-4408 | 2012-11-05 |
| 1669665832 | Michael Christian Stober | Pharmacist | 13855 Rogers Dr, Rogers, MN 55374-4408 | 2007-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609335835 | Rebecca Loehrer | Nurse Practitioner | 21370 Ste 210 John Milless Dr., Rogers, MN 55374 | 2019-03-18 |
| 1255722328 | Samantha Colai | Marriage & Family Therapist | 21307 John Milless Drive, Suite 106, Rogers, MN 55374 | 2015-02-11 |
| 1437559648 | Jamie Mosley | Counselor | 2100 Rogers Drive, Suite 200, Rogers, MN 55374 | 2014-08-26 |
| 1295145886 | Marisa Kolasa | Massage Therapist | 22290 Oakdale Drive, Rogers, MN 55374 | 2014-05-05 |
| 1871878165 | Derek P Doty Dc Inc | Chiropractor | 21410 136th Ave N, Suite 105a, Rogers, MN 55374 | 2011-10-18 |
| 1912205865 | Michelle Cheryl Finnegan-larson | Registered Nurse | 21308 John Milless Drive, Rogers, MN 55374 | 2011-03-02 |
| 1639402571 | Ascend Family Institute | Community/Behavioral Health | 20980 Rogers Drive, #400, Rogers, MN 55374 | 2009-09-10 |
| 1275738403 | Nicole M Clements | Physician Assistant | 1355 Rogers Drive, Rogers, MN 55374 | 2007-06-18 |
| 1558566166 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 21455 John Milless Drive, Rogers, MN 55374 | 2007-06-15 |
| 1811062854 | Randall Alvin Hohbein | Pharmacist | 21351 John Milless Drive, Rogers Drug, Rogers, MN 55374 | 2006-11-22 |
| Find all providers in zip 55374 | ||||
| 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 |
|---|---|---|---|---|
| 1417558214 | Shara Parrish | Pharmacist | 2252 N 8th St, Rogers, AR 72756-2842 | 2020-11-06 |
| 1982211280 | Lisa Marie Smith | Pharmacist | 5409 S 60th Pl, Rogers, AR 72758-8230 | 2020-09-30 |
| 1376179341 | Han Ngoc Ly Le | Pharmacist | 21455 John Milless Dr, Rogers, MN 55374-9431 | 2020-03-20 |
| 1033759741 | Blake Burns | Pharmacist | 17 W Wimbledon Way, Rogers, AR 72758-1409 | 2020-01-10 |
| 1689181448 | Kim Chi Thi Nguyen | Pharmacist | 3306 S 3rd St, Rogers, AR 72758-1377 | 2018-01-02 |
| 1548692445 | Becky Tadlock Ross | Pharmacist | 1766 West Laurel, Rogers, AR 72758 | 2013-08-01 |
| 1699072298 | Terrell Beavers | Pharmacist | 5745 Chanberry Ln, Rogers, AR 72758-8673 | 2011-02-16 |
| 1720259773 | Saul None Siebler | Pharmacist | 2803 W Beech St, Rogers, AR 72756-2055 | 2008-03-18 |
| 1811062854 | Randall Alvin Hohbein | Pharmacist | 21351 John Milless Drive, Rogers Drug, Rogers, MN 55374 | 2006-11-22 |
| 1093316929 | Sean Sullivan | Pharmacist | 5000 W Pauline Whitaker Pkwy, Rogers, AR 72758-9104 | 2020-11-06 |
| Find all providers in ROGERS | ||||
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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.