DR. KEVIN CHARLES JOHNSON (NPI# 1346536463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346536463 |
| Entity Type | Individual |
| Full Name | DR. KEVIN CHARLES JOHNSON |
| Credential | PHARM. D. |
| Practice Address |
747 Highway 259 North Kilgore TX 75662-5175 |
| Practice Telephone | 9039848639 |
| Practice Fax Number | 9039848630 |
| Mailing Telephone | 9039848639 |
| Mailing Fax Number | 9039848630 |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2016-12-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 36254 | TX | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912463704 | Kevin Johnson | Chiropractor | 2601 E Chapman Ave Ste 214, Fullerton, CA 92831-3737 | 2019-02-16 |
| 1558834234 | Kevin Timothy Johnson | Physician Assistant | 411 Naylor Mill Rd, Salisbury, MD 21801-1191 | 2019-01-06 |
| 1790283588 | Kevin Johnson | Case Manager/Care Coordinator | 201 W. Springfield Ave, Knoxville, TN 37917 | 2018-01-26 |
| 1205384955 | Kevin Johnson Jr. | Community Health Worker | 1261 Roslyn Ave, Akron, OH 44320-3424 | 2016-09-12 |
| 1073949400 | Kevin William Johnson | Counselor | 1147 16th St N, St Petersburg, FL 33705-1104 | 2013-09-17 |
| 1669752200 | Kevin L Johnson | Pharmacist | 2600 S 48th St, Lincoln, NE 68506-2502 | 2011-08-26 |
| 1770806374 | Kevin Neil Johnson | Physical Medicine & Rehabilitation | 9913 214th St W Ste B, Lakeville, MN 55044-1914 | 2010-03-10 |
| 1326280991 | Kevin Anthony Johnson | Family Medicine | 1400 Hancock Blvd, #1208, Daytona Beach, FL 32114 | 2009-03-29 |
| 1558566588 | Kevin Charles Johnson | Speech-Language Pathologist | 8620 Holly Dr, Suite 230, Everett, WA 98208-1825 | 2007-06-19 |
| 1366583841 | Kevin Darnell Johnson | Dentist | 71 Valley St, Suite103, South Orange, NJ 07079-2835 | 2007-02-09 |
| Street Address |
747 HIGHWAY 259 NORTH |
| City | KILGORE |
| State | TX |
| Zip Code | 75662-5175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346890621 | Linda Gail Watson | Technician | 190 Glendale St, Kilgore, TX 75662 | 2019-09-18 |
| 1174185151 | Jennifer Darlene Franks | Registered Nurse | 6144 Gateway Center Pmb # 320, Kilgore, TX 75662 | 2019-07-01 |
| 1215363312 | Kilgore Integrated Health Pllc | Chiropractor | 726 Us Highway 259 N, Kilgore, TX 75662 | 2013-09-20 |
| 1407172240 | Jeffrey Alan Davis | Specialist/Technologist | 300 N. Kilgore Street, Kilgore, TX 75662 | 2010-04-19 |
| 1396923777 | Rachel Thunder Rose Wyatt | Physical Therapist | 1200 Dudley Road, Kilgore, TX 75662 | 2008-02-07 |
| 1346313673 | Brookshire Grocery Company | Pharmacy | 747 Hwy 259 North, Attention Pharmacy Dept, Kilgore, TX 75662 | 2006-11-16 |
| 1417026451 | Jeffery John Pinkerton | Optometrist | 800 Highway 259 North, Kilgore, TX 75662 | 2006-11-06 |
| 1831205004 | Joseph Claude De Graffenried Jr. | Dentist | 238 Lawrence St, Kilgore, TX 75662 | 2006-08-21 |
| 1235159500 | Charles Robert Cottier | Chiropractor | 316 Henderson, Kilgome, TX 75662 | 2006-07-20 |
| 1346509494 | Kelton Hospice, Inc. | Hospice Care, Community Based | 1100 Stone Road, Suite 269, Kilgore, TX 75662 | 2012-05-10 |
| Find all providers in zip 75662 | ||||
| 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 |
|---|---|---|---|---|
| 1659987220 | Richard Wayne Pierce | Pharmacist | 747 Us Highway 259 N, Kilgore, TX 75662-6041 | 2020-09-19 |
| 1689876922 | Joseph Dean Dupre | Pharmacist | 12919 Fm 2276 N, Kilgore, TX 75662-7237 | 2007-05-31 |
| 1144228552 | Harry L Allbright | Pharmacist | 2591 Fm 3053, Kilgore, TX 75662-8490 | 2005-07-09 |
| 1942801691 | Katherine Lee Chon | Pharmacist | 1201 Stone St, Kilgore, TX 75662-5433 | 2020-11-07 |
| 1619578507 | Diane Bara | Pharmacist | 1201 Stone St, Kilgore, TX 75662-5433 | 2020-11-05 |
| 1326649229 | Laura Perkins | Pharmacist | 1201 Stone St, Kilgore, TX 75662-5433 | 2020-11-05 |
| 1316450430 | Daniel Vyverberg | Pharmacist | 701 Us Highway 259 N, Kilgore, TX 75662-6041 | 2017-11-10 |
| 1013448323 | Otto Cheo | Pharmacist | 701 Us Highway 259 N, Kilgore, TX 75662-6041 | 2017-03-27 |
| 1972844686 | Rodney O Beaty | Pharmacist | 701 Us Highway 259 N, Kilgore, TX 75662-6041 | 2013-03-05 |
| 1821301722 | Angela Solis Krenek | Pharmacist | 701 Us Highway 259 N, Kilgore, TX 75662-6041 | 2010-07-20 |
| Find all providers in KILGORE | ||||
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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.