ANGIE MAE JOHNSON (NPI# 1447851191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447851191 |
| Entity Type | Individual |
| Full Name | ANGIE MAE JOHNSON |
| Credential | PHARMD |
| Practice Address |
1250 S Amity Rd Conway AR 72032-8732 |
| Mailing Address |
80 Shoshoni Dr Sherwood AR 72120-2542 |
| Practice Telephone | 5012057460 |
| Practice Fax Number | 5012057459 |
| Mailing Telephone | 5017334871 |
| Enumeration Date | 2020-11-07 |
| Last Update Date | 2020-11-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PD14065 | AR | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962886838 | Angie Johnson | Specialist/Technologist | 228 Barbours Ln, Greenville, SC 29607-7105 | 2015-07-10 |
| 1245498898 | Angie Staley Johnson | Occupational Therapist | 5729 N Country Club Blvd, Little Rock, AR 72207-4345 | 2008-05-30 |
| 1992091508 | Angie Johnson | Case Manager/Care Coordinator | 242 Shake Rag Rd, Clinton, AR 72031-6629 | 2011-06-22 |
| 1104943646 | Angie M Johnson | Case Manager/Care Coordinator | 2624 9th Ave S, Fargo, ND 58103-2350 | 2007-03-22 |
| 1942280474 | Angie Johnson | Registered Nurse | 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 | 2006-01-19 |
| Street Address |
1250 S AMITY RD |
| City | CONWAY |
| State | AR |
| Zip Code | 72032-8732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789843 | Amelia S Lasater | Pharmacist | 1155 Hwy 65n, Conway, AR 72032 | 2020-10-28 |
| 1619584604 | Danyelle Durocher | Occupational Therapist | 1301 North Museum Rd, Conway, AR 72032 | 2020-09-24 |
| 1780222174 | Eric Herman Boxnick | Pharmacist | 101 West Oak Street, Conway, AR 72032 | 2019-12-16 |
| 1932746070 | Habilitation Center, LLC | Psychiatric Residential Treatment Facility | 161 Skunk Hollow Road, Conway, AR 72032 | 2019-12-09 |
| 1679051668 | Mary Elizabeth Black | Nurse Practitioner | 222 Dave Ward Drive, Conway, AR 72032 | 2018-08-01 |
| 1275035602 | Conway Dental Center Pllc | Dentist | 1600 E. Oak Street Suite B, Conway, AR 72032 | 2018-03-01 |
| 1750821625 | Luke Osborne | Physical Therapy Assistant | 1 Thomas Ln, Conway, AR 72032 | 2017-02-27 |
| 1639620099 | Sam's West, Inc. | Technician/Technologist | 1250 South Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1922559343 | Sam's West, Inc. | Durable Medical Equipment & Medical Supplies | 1250 Sourth Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1639629108 | Posture Store | Durable Medical Equipment & Medical Supplies | 3900 Dave Ward Dr., Suite 1900-130, Conway, AR 72032 | 2016-10-09 |
| Find all providers in zip 72032 | ||||
| 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 |
|---|---|---|---|---|
| 1730789843 | Amelia S Lasater | Pharmacist | 1155 Hwy 65n, Conway, AR 72032 | 2020-10-28 |
| 1831710367 | Bailey Nicole Williams | Pharmacist | 2425 Dave Ward Dr Ste 602, Conway, AR 72034-8685 | 2020-05-06 |
| 1780222174 | Eric Herman Boxnick | Pharmacist | 101 West Oak Street, Conway, AR 72032 | 2019-12-16 |
| 1154968584 | Kamara Gray | Pharmacist | 2709 Church St, Conway, SC 29526-4440 | 2019-12-04 |
| 1902465818 | Heather Robertson | Pharmacist | 2270 Meadowlake Rd Apt 1007, Conway, AR 72032-2680 | 2019-06-13 |
| 1568813848 | Daniel Burden Jr. | Pharmacist | 5250 Boggy Rd, Conway, SC 29526-5853 | 2016-06-28 |
| 1194153171 | Cheryl Brantley-finley | Pharmacist | 245 East Oak St, Conway, AR 72032 | 2013-10-29 |
| 1922436617 | Joshua Anthony Goins | Pharmacist | 1610 Church St, Conway, SC 29526-2930 | 2013-10-16 |
| 1376970681 | Loretta Darline Williams | Pharmacist | 245 Oak St, Conway, AR 72032-4635 | 2013-10-01 |
| 1124455662 | Kathy Ann Mayo | Pharmacist | 1125 Morningside Dr, Conway, AR 72034-3647 | 2013-09-30 |
| Find all providers in CONWAY | ||||
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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.