GREGORY JAMES JOHANSEN (NPI# 1265947675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265947675 |
| Entity Type | Individual |
| Full Name | GREGORY JAMES JOHANSEN |
| Credential | R.PH. |
| Practice Address |
2929 Westown Pkwy Ste 100 West Des Moines IA 50266-1319 |
| Practice Telephone | 5154401270 |
| Mailing Telephone | 5154401270 |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2017-12-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 14774 | IA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | IOWA PHARMACIST LICENCE | 14774 | 01 |
| Street Address |
2929 WESTOWN PKWY STE 100 |
| City | WEST DES MOINES |
| State | IA |
| Zip Code | 50266-1319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356956643 | Garrett Moorman | Pharmacist | 2929 Westown Pkwy Ste 100, West Des Moines, IA 50266-1319 | 2020-09-13 |
| 1710468608 | Kelly A Caldbeck | Pharmacist | 2929 Westown Pkwy Ste 100, West Des Moines, IA 50266-1319 | 2018-08-28 |
| 1518463207 | Amanda Toms | Pharmacist | 2929 Westown Pkwy Ste 100, West Des Moines, IA 50266-1319 | 2018-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013544667 | Annie Penquite | Physician Assistant | 6001 Westown Pwky, West Des Moines, IA 50266 | 2020-03-24 |
| 1730733205 | Erin Allyn Fiala | Counselor | 1200 Valley West Dr Suite 508, West Des Moines, IA 50266 | 2019-08-01 |
| 1598325151 | Cornerstone Pediatrics and Family Allergy, Plc | Pediatrics | 6800 Lake Drive, #260, West Des Monies, IA 50266 | 2019-06-17 |
| 1093286395 | Ccrc of West Des Moines, LLC | Skilled Nursing Facility | 8950 Coachlight Drive, West Des Moines, IA 50266 | 2018-12-12 |
| 1326517400 | Merit Hearing LLC | Audiologist-Hearing Aid Fitter | 2910 Westown Pkwy Ste 110, West Des Moines, IA 50266 | 2018-11-18 |
| 1699253807 | Diamond Home Health Care Services | Home Health | 4949 Weston Pkwy Ste 165 #836, West Des Moines, IA 50266 | 2018-07-31 |
| 1285129932 | Hy Vee Inc | Pharmacy | 375 South Jordan Creek Parkway, West Des Moines, IA 50266 | 2018-06-26 |
| 1669965208 | Rx Precision, Inc. | Case Management | 6205 Mills Civic Pkwy Ste 201, West Des Moines, IA 50266 | 2018-06-08 |
| 1912406588 | Cora Schuhmacher, Psy.d., Pllc | Psychologist | 1045 76th St Unit 3030, West Des Moines, IA 50266 | 2018-02-08 |
| 1508374778 | Brian L Bentley | Counselor | 5500 Wild Rose Lane, Suite 400, West Des Moines, IA 50266 | 2018-01-22 |
| Find all providers in zip 50266 | ||||
| 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 |
|---|---|---|---|---|
| 1487296562 | Kristen Ann Mckibban | Pharmacist | 1001 Office Park Rd Ste 216, West Des Moines, IA 50265-2509 | 2019-10-10 |
| 1548801913 | Scott Caslow | Pharmacist | 4001 Ep True Pkwy Apt 62, West Des Moines, IA 50265-7947 | 2019-10-07 |
| 1821501321 | Kimberly Ae Ohnesorge | Pharmacist | 1776 W Lakes Pkwy Ste 100, West Des Moines, IA 50266-8378 | 2017-11-07 |
| 1245694884 | Sarah Boehm | Pharmacist | 375 S Jordan Creek Pkwy, West Des Moines, IA 50266-8139 | 2016-04-10 |
| 1154780005 | Michelle Miller | Pharmacist | 8345 Coachlight Dr, West Des Moines, IA 50266-8522 | 2016-02-21 |
| 1417375544 | Wendi French | Pharmacist | 4830 Hawthorne Dr, West Des Moines, IA 50265-2019 | 2014-04-05 |
| 1841566833 | Charles Dominic Graziano | Pharmacist | 2706 Hickory Ridge Dr, West Des Moines, IA 50265-5613 | 2012-03-24 |
| 1003183161 | Michael J Lyons | Pharmacist | 6580 Dakota Dr, West Des Moines, IA 50266-2431 | 2011-11-17 |
| 1023391786 | Lee Thomas Mews | Pharmacist | 225 Prairie View Dr Apt 8206, West Des Moines, IA 50266 | 2011-09-20 |
| 1841500907 | Theresa Diane Petersen | Pharmacist | 524 24th St, West Des Moines, IA 50265-4102 | 2010-10-07 |
| Find all providers in WEST DES MOINES | ||||
| City | WEST DES MOINES |
| Zip Code | 50266 |
Please comment or provide details below to improve the information on GREGORY JAMES JOHANSEN.
| 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.