JENNIFER JOHNSON (NPI# 1205105715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205105715 |
| Entity Type | Individual |
| Full Name | JENNIFER JOHNSON |
| Credential | PHARM D |
| Practice Address |
1725 Northport Dr Madison WI 53704-3025 |
| Mailing Address |
4523 Nina Ln Middleton WI 53562-5325 |
| Practice Telephone | 6082417001 |
| Mailing Telephone | 6082153345 |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2011-12-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 14570 | WI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174166532 | Jennifer Johnson | Counselor | 4355 High Bridge Rd, Quincy, FL 32351-6128 | 2019-10-17 |
| 1114569316 | Jennifer Dee Johnson | Midwife | 38785 Palo Colorado Rd, Carmel, CA 93923 | 2019-10-09 |
| 1538716014 | Jennifer Johnson | Social Worker | 4400 Old Canton Rd, Jackson, MS 39211-5982 | 2019-08-20 |
| 1699337410 | Jennifer Johnson | Registered Nurse | F341 County Road 6, Deshler, OH 43516-9738 | 2019-07-02 |
| 1427514397 | Jennifer Denise Johnson | Registered Nurse | 573 Lake Manor Dr, Greenville, MS 38701-7417 | 2019-02-15 |
| 1649734583 | Jennifer A Johnson | Counselor | 6126 W State St Ste 102, Boise, ID 83703-2741 | 2019-01-24 |
| 1487125464 | Jennifer Ellen Johnson | Counselor | 614 Haven Ln, Clarks Summit, PA 18411-2402 | 2018-12-17 |
| 1053892638 | Jennifer Yvonne Johnson | Home Health | 121 N Heritage Oaks Dr, Texas City, TX 77591-9326 | 2018-08-22 |
| 1336625912 | Jennifer Johnson | Social Worker | 1 Court Rd, Westford, MA 01886-2627 | 2018-07-17 |
| 1003302415 | Jennifer Nicole Johnson | Respiratory Therapist, Certified | 190 Aviation Plaza, Suite D, Hot Springs, AR 71913-7191 | 2018-07-09 |
| Street Address |
1725 NORTHPORT DR |
| City | MADISON |
| State | WI |
| Zip Code | 53704-3025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194732081 | Walgreen Co | Pharmacy | 1725 Northport Dr, Madison, WI 53704-3025 | 2006-08-02 |
| 1497367254 | Bonnie Arbuckle | Pharmacist | 1725 Northport Dr, Madison, WI 53704-3025 | 2020-08-21 |
| 1730713132 | Sara Worzella | Pharmacist | 1725 Northport Dr, Madison, WI 53704-3025 | 2020-02-25 |
| 1457733669 | Ellen Marie Bergendahl | Pharmacist | 1725 Northport Dr, Madison, WI 53704-3025 | 2015-06-24 |
| 1427482603 | Raymond Siekert Jr. | Pharmacist | 1725 Northport Dr, Madison, WI 53704-3025 | 2013-08-24 |
| 1124305248 | Mixee Vang | Pharmacist | 1725 Northport Dr, Madison, WI 53704-3025 | 2011-11-03 |
| 1962786236 | Matthew Glaser | Pharmacist | 1725 Northport Dr, Madison, WI 53704-3025 | 2011-10-05 |
| 1215218425 | Erik Charles Simonson | Pharmacist | 1725 Northport Dr, Madison, WI 53704-3025 | 2011-08-31 |
| 1982984522 | Joel T Macmillan | Pharmacist | 1725 Northport Dr, Madison, WI 53704-3025 | 2011-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407369614 | Joseph Michael Oakley II | Chiropractor | 2801 International Ln Ste 102, Madison, WI 53704 | 2017-11-09 |
| 1972015048 | Suzanne Lee | Psychiatry & Neurology | 1835 Winnebago St. #402, Madison, WI 53704 | 2017-10-30 |
| 1831554021 | Gideon Kazah | Licensed Practical Nurse | 2488 Dahle Street, Madison, WI 53704 | 2015-12-15 |
| 1174952220 | Group Health Cooperative of South Central Wisconsin Madison College | Durable Medical Equipment & Medical Supplies | 1705 Hoffman Street, Madison, WI 53704 | 2013-11-08 |
| 1407190127 | Ashley Marie Snyder | Social Worker | 5203 Autumn Leaf Lane, Apt. 389, Madison, WI 53704 | 2012-11-19 |
| 1619230638 | Dawn Lynette Butts | Optometrist | 4208 E Washington Ave, Madison, WI 53704 | 2012-06-25 |
| 1679865992 | Sharon Kelley | Psychologist | 1213 N. Sherman Ave, Suite 334, Madison, WI 53704 | 2011-05-04 |
| 1578730412 | St. Charles Youth & Family Services | Community Based Residential Treatment Facility, Mental Illness | 310 Troy Dr, Cottage B, Madison, WI 53704 | 2008-05-09 |
| 1538346960 | Elizabeth Ann Reiser-loeber | Dentist | 1001 N. Sherman Ave, Madison, WI 53704 | 2008-01-28 |
| 1861683088 | Stephen Dale Flach | Internal Medicine | Covance, 3402 Kinsman Blvd, Madison, WI 53704 | 2007-08-05 |
| Find all providers in zip 53704 | ||||
| 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 |
|---|---|---|---|---|
| 1346840956 | Candi Ashton | Pharmacist | 6011 N Rector Rd, Madison, IN 47250-7624 | 2020-11-01 |
| 1154931038 | Alyson Giragosian | Pharmacist | 4818 Kingsford Way, Madison, WI 53704-6498 | 2020-08-05 |
| 1801415641 | Genesee Fernandez | Pharmacist | 170 Sagebrook Dr, Madison, AL 35757-7684 | 2020-04-12 |
| 1417583568 | Kimberly Maerz | Pharmacist | 6701 Mineral Point Rd, Madison, WI 53705-4241 | 2020-03-20 |
| 1942845896 | Nikita Jain | Pharmacist | 857 Durham Rd, Madison, CT 06443-1827 | 2019-11-14 |
| 1437704939 | Morgan A Wynes | Pharmacist | 600 Highland Ave # F6160, Madison, WI 53792-0001 | 2019-08-02 |
| 1467005322 | Elisa Rowland | Pharmacist | 12070 County Line Rd Ste C, Madison, AL 35756-2000 | 2019-07-19 |
| 1669034849 | Jessica Chmielinski | Pharmacist | 2500 Overlook Ter Dept 119, Madison, WI 53705-2254 | 2019-07-08 |
| 1265903702 | Steven Michael Dixon | Pharmacist | 41 Chestnut Hill Rd, Madison, CT 06443-1816 | 2018-12-10 |
| 1609358050 | Fallon Callahan | Pharmacist | 136 Samson Rock Drive, Madison, CT 06413 | 2018-09-02 |
| Find all providers in MADISON | ||||
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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.