JIM JOHNSON (NPI# 1467576512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467576512 |
| Entity Type | Individual |
| Full Name | JIM JOHNSON |
| Practice Address |
1079 Jesse Jewell Pkwy Sw Gainesville GA 30501-6103 |
| Mailing Address |
5054 Whites Mill Dr Gainesville GA 30504-8162 |
| Practice Telephone | 7705363108 |
| Practice Fax Number | 7705362357 |
| Mailing Telephone | 7705366029 |
| Mailing Fax Number | 7705362357 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 9506 | GA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | LICENSE NUMBER | 9506 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053599530 | Jim M Johnson Jr. | Durable Medical Equipment & Medical Supplies | 1464 Carolina Avenue, Orangeburg, SC 29115-1464 | 2008-02-06 |
| 1538255203 | Jim D. Johnson | Social Worker | 1911 Nw 72nd St, Lawton, OK 73505-2609 | 2006-10-04 |
| 1720174261 | Jim A. Johnson | Optometrist | 1820 South Ohio Street, Salina, KS 67401 | 2006-10-04 |
| 1609961242 | Jim Johnson | Respiratory Therapist, Registered | 1660 S Colubian Way, Seattle, WA 98108 | 2006-10-03 |
| 1194243501 | Jim Ralph Johnson | Counselor | 610 Elm St Ste 212, San Carlos, CA 94070-3070 | 2017-09-06 |
| 1841316726 | Jim Johnson | Physical Therapist | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2007-03-22 |
| 1992831135 | Jim D Johnson | Optometrist | 125 S 66th St, Lincoln, NE 68510-2302 | 2007-02-24 |
| Street Address |
1079 JESSE JEWELL PKWY SW |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-6103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700863347 | Mimbs Drug Co. | Pharmacy | 1079 Jesse Jewell Pkwy Sw, Gainesville, GA 30501-6103 | 2005-12-26 |
| 1710548664 | Gainesville Pharmacy LLC | Pharmacy | 1079 Jesse Jewell Pkwy Sw, Gainesville, GA 30501-6103 | 2019-06-21 |
| 1922358860 | Itzelis Del Carmen Godreau | Pharmacist | 1079 Jesse Jewell Pkwy Sw, Gainesville, GA 30501 | 2012-09-18 |
| 1801911607 | Carl D Parker | Pharmacist | 1079 Jesse Jewell Pkwy Sw, Gainesville, GA 30501-6103 | 2007-03-20 |
| 1386787265 | Natali Castillo | Pharmacy Technician | 1079 Jesse Jewell Pkwy Sw, Gainesville, GA 30501-6103 | 2007-02-14 |
| 1811030711 | Vicenta R Turner | Pharmacy Technician | 1079 Jesse Jewell Pkwy Sw, Gainesville, GA 30501-6103 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| 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 |
|---|---|---|---|---|
| 1174124572 | Jessica Rodriguez New | Pharmacist | 2892 Browns Bridge Road, Gainesville, GA 30504 | 2020-11-03 |
| 1912506171 | Bernard Kwaku Ansong Bediako | Pharmacist | 12064 Prickly Ash Way, Gainesville, VA 20155-3868 | 2020-10-20 |
| 1225651086 | Carolyn Marie Neal | Pharmacist | 2000 Sw Archer Rd # 100367, Gainesville, FL 32608-1136 | 2020-05-27 |
| 1316574429 | Richard James Marrero | Pharmacist | 1210 Sw 11th Ave Apt E204, Gainesville, FL 32601-8236 | 2020-03-26 |
| 1932731692 | Mark A Miller | Pharmacist | 5431 Sw 35th Dr Ste 200, Gainesville, FL 32608-5277 | 2020-02-10 |
| 1316580228 | Amy F Rosenberg | Pharmacist | 1600 Sw Archer Rd Fl 3003, Gainesville, FL 32610-3003 | 2019-10-23 |
| 1861034035 | Erin M Wright | Pharmacist | 1600 Sw Archer Rd # 100316, Gainesville, FL 32610-3003 | 2019-10-09 |
| 1700433224 | Joshua Barton | Pharmacist | 5927 Nw 31st Ter, Gainesville, FL 32653-1738 | 2019-08-20 |
| 1275002768 | Tasha Brower | Pharmacist | 2815 Nw 13th St, Gainesville, FL 32609-2879 | 2018-11-14 |
| 1255806071 | Amit Patel | Pharmacist | 2815 Nw 13th St # 204, Gainesville, FL 32609-2879 | 2018-10-08 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
Please comment or provide details below to improve the information on JIM JOHNSON.
| 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.