DR. GLEN RALPH JOHNSON (NPI# 1427291608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427291608 |
| Entity Type | Individual |
| Full Name | DR. GLEN RALPH JOHNSON |
| Credential | PHARMD |
| Practice Address |
901 Santa Fe Trl Macon GA 31220-3724 |
| Practice Telephone | 4784741240 |
| Mailing Telephone | 4787379920 |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2016-10-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | PS 12439 | FL | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | RPH009914 | GA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124375423 | Glen Howard Johnson | Dentist | University of Washington School of Dentistry, Restorative Dentistry Box 357456, Seattle, WA 98195-0001 | 2012-08-07 |
| 1992758353 | Glen Lee Johnson | Psychologist | 5123 N Royal Dr, Traverse City, MI 49684-9201 | 2006-05-18 |
| 1619971561 | Glen F Johnson | Physician Assistant | 524 Beaumont Rd, Fayetteville, NC 28304-4443 | 2005-06-09 |
| 1699149831 | Glen Johnson | Physical Therapy Assistant | 231 Warner St, Toms River, NJ 08755-1028 | 2015-11-28 |
| 1841527256 | Glen R Johnson | Marriage & Family Therapist | 25500 Hawthorne Blvd, Suite 2200, Torrance, CA 90505-6829 | 2009-11-05 |
| 1649499138 | Glen R Johnson | Family Medicine | 2636 South Loop W, Suite 925, Houston, TX 77054-2680 | 2007-04-24 |
| 1750505566 | Glen Eric Johnson | Specialist/Technologist | 3280 Fissels Church Rd, Glen Rock, PA 17327-8774 | 2007-04-12 |
| 1720138399 | Glen Ric Johnson | Chiropractor | 4702 Northwest Hwy, Garland, TX 75043-4912 | 2007-01-12 |
| 1326157298 | Glen Eric Johnson | Psychiatry & Neurology | 3940 West 4100 South, West Valley City, UT 84120 | 2006-08-30 |
| 1942224258 | Glen E Johnson | Orthopaedic Surgery | 675 Old Ballas Rd Ste 100, Creve Coeur, MO 63141-7083 | 2006-07-27 |
| Street Address |
901 SANTA FE TRL |
| City | MACON |
| State | GA |
| Zip Code | 31220-3724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174864979 | Kenwana Michelle Vanderbilt | Psychologist | Macon Outpatient Clinic- 5398 Thomaston Rd., Suite B, Macon, GA 31220 | 2013-03-05 |
| 1720287345 | Lynda Jean Logan | Registered Nurse | 5398 Thomaston Road Suite B, Macon, GA 31220 | 2007-07-13 |
| 1811085434 | Timmi Hagan | Dentist | 4196 Cavalier Dr, Macon, GA 31220 | 2006-10-10 |
| 1154375756 | Lois Jane Macdonnell | Psychiatry & Neurology | 5566 Thomaston Rd, Macon, GA 31220 | 2006-05-19 |
| 1508129438 | Venyette Thomas | Nurse Practitioner | 6381 Zebulon Rd, Macon, GA 31220 | 2012-06-15 |
| 1710260575 | Vijay H Patel | Pharmacist | 1280 Gray Hwy, Macon, GA 31220 | 2011-09-27 |
| 1023065638 | Dublin Vamc | Clinic/Center | 5566 Thomaston Rd, Macon, GA 31220 | 2006-05-28 |
| 1386847614 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 6381 Zebulon Rd, Macon, GA 31220-2601 | 2007-06-06 |
| 1588128581 | Samuel Scott Collier | Nurse Practitioner | 6381 Zebulon Rd, Macon, GA 31220-2601 | 2019-01-24 |
| 1841652310 | Christopher Hayes | Nurse Practitioner | 6381 Zebulon Rd, Macon, GA 31220-2601 | 2016-03-24 |
| Find all providers in zip 31220 | ||||
| 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 |
|---|---|---|---|---|
| 1417421785 | Clara H Vinh | Pharmacist | 513 Litchfield Dr, Macon, GA 31220-7620 | 2019-01-19 |
| 1558837443 | Kenneth Edo Amayo | Pharmacist | 399 Plantation Way Apt 2420, Macon, GA 31210-9314 | 2018-10-17 |
| 1952706343 | Matthew Wayne Frazier | Pharmacist | 4260 Log Cabin Dr, Macon, GA 31204 | 2014-10-28 |
| 1669875258 | Jennifer Niemeier | Pharmacist | 2587 Nancelon Cir N, Macon, GA 31204-1743 | 2014-09-26 |
| 1306245592 | Pasquale Pietrefesa | Pharmacist | 423 Panorama Pl, Macon, GA 31220-2652 | 2014-08-14 |
| 1194133009 | Patricia Howard | Pharmacist | 156 Tom Hill Senior Blvd, Macon, GA 31210-8014 | 2014-07-24 |
| 1215270442 | Savanah Renee Derossett | Pharmacist | 3990 Riverside Park Blvd, 1108, Macon, GA 31210-1054 | 2013-04-06 |
| 1528305695 | Hollie Elizabeth Hightower | Pharmacist | 195 Tom Hill Sr Blvd, Macon, GA 31210-1816 | 2013-01-09 |
| 1952696585 | Shelita L Baker | Pharmacist | 4685 Presidential Pkwy, T-1379, Macon, GA 31206-8712 | 2011-06-11 |
| 1215236021 | Eleonor S Constantino | Pharmacist | 892 Pierce Ave, Macon, GA 31204-1531 | 2011-03-18 |
| Find all providers in MACON | ||||
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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.