MRS. MARY E JOHNSON (NPI# 1558790188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558790188 |
| Entity Type | Individual |
| Full Name | MRS. MARY E JOHNSON |
| Credential | CPHT, WPQC CERTIFIED |
| Practice Address |
405 Water St Prairie Du Sac WI 53578-1126 |
| Practice Telephone | 6086433396 |
| Practice Fax Number | 6086434361 |
| Mailing Telephone | 6086433396 |
| Mailing Fax Number | 6086434361 |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2013-11-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | 330101051154461 | WI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356953145 | Mary Ann Johnson | Technician | 165 Everett Dr, Gallipolis Ferry, WV 25515-7005 | 2020-08-21 |
| 1851938385 | Mary Johnson | Technician | 2917 W 19th Ave Trlr 79, Kennewick, WA 99337-2307 | 2019-12-03 |
| 1578106845 | Mary Margaret Johnson | Social Worker | 6614 Shallowford Rd. Suite 250, Lewisville, NC 27023 | 2019-10-19 |
| 1033670807 | Mary Bernece Johnson | Registered Nurse | 5603 Mandalay, Killeen, TX 76549-4597 | 2019-03-26 |
| 1295205342 | Mary Elizabeth Johnson | Speech-Language Pathologist | 502 W Windsor Rd, Champaign, IL 61820-7739 | 2018-12-03 |
| 1255825758 | Mary Elizabeth Johnson | Dietitian, Registered | 3590 Lucille Dr Ste 2600, Cincinnati, OH 45213-2669 | 2018-06-18 |
| 1871000463 | Mary James (jamie) Johnson | Counselor | 1100 Spring Street, Suite 380, Atlanta, GA 30309 | 2018-01-04 |
| 1841735289 | Mary Johnson | Registered Nurse | 14 Cypress Fairway Vlg, Wimberley, TX 78676-1974 | 2016-12-20 |
| 1467827220 | Mary Johnson | Registered Nurse | 308 Keelson Dr, Detroit, MI 48215-3058 | 2015-12-04 |
| 1003286055 | Mary Ann Johnson | Dentist | 320 Comanche St., Kiowa, CO 80117 | 2015-10-02 |
| Street Address |
405 WATER ST |
| City | PRAIRIE DU SAC |
| State | WI |
| Zip Code | 53578-1126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124052451 | Raelyn Katherine Eannelli | Nurse Practitioner | 405 Water St, Prairie Du Sac, WI 53578-1126 | 2006-07-11 |
| 1962831552 | Michael A Eannelli Sr. | Pharmacist | 405 Water St, Prairie Du Sac, WI 53578-1126 | 2013-11-05 |
| 1174534671 | E-scripts, Inc | Pharmacy | 405 Water St, Prairie Du Sac, WI 53578-1126 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437272341 | Christianson Pfau Chiropractic LLC | Chiropractor | 1190 Prairie Street, Prairie Du Sac, WI 53578 | 2007-04-06 |
| 1184665291 | Kerri Michele Lehman | Psychologist | 1190 Prairie St., Prairie Du Sac, WI 53578 | 2006-06-09 |
| 1619933496 | Jennifer Ann Yessa-kast | Social Worker | 560 4th St, Prairie Du Sac, WI 53578 | 2006-04-21 |
| 1598734956 | Eric A Warbasse | Family Medicine | 80 First St, Sauk Prairie Memorial Hospital and Clinics, Prairie Du Sac, WI 53578 | 2006-03-16 |
| 1215959812 | James Franklin Williams | Social Worker | 560 4th St, Pathway Clinic, Prairie Du Sac, WI 53578 | 2006-07-24 |
| 1629035324 | Michael L Hammer | Psychologist | 560 4th St, Pathway Clinic Sc, Prairie Du Sac, WI 53578 | 2006-04-27 |
| 1871550517 | Jean Mcelhaney | Counselor | 560 4th St, Prairie Du Sac, WI 53578 | 2006-04-27 |
| 1407093693 | Mihal Davis | Acupuncturist | 608 Water St, Prairie Du Sac, WI 53578-1027 | 2009-01-09 |
| 1528220472 | Tina Rios | Custodial Care Facility | 601 21st St, Prairie Du Sac, WI 53578-1068 | 2008-07-01 |
| 1992273668 | Melissa M Graf | Acupuncturist | 432 Water St, Prairie Du Sac, WI 53578-1127 | 2018-11-11 |
| Find all providers in zip 53578 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578109062 | Jamie Ann Ver Hagen | Pharmacy Technician | 218800 Fawn Rd Lot 81, Mosinee, WI 54455-4352 | 2019-11-20 |
| 1861831810 | James Robert Mccormick | Pharmacy Technician | 2720 S 163rd St, New Berlin, WI 53151-3610 | 2013-06-21 |
| 1265777999 | Linda Joyce Lundberg | Pharmacy Technician | 11134n Hwy 77, Essentia Health Hayward Pharmacy, Hayward, WI 54843-5325 | 2012-12-06 |
| 1952335515 | Nicole L Halvorson | Pharmacy Technician | 1800 Robin Ave, S207, Oshkosh, WI 54902-8765 | 2006-07-10 |
| 1295356020 | Matthew Parish | Pharmacy Technician | 1969 W Hart Rd, Beloit, WI 53511-2230 | 2020-05-04 |
| 1255951448 | Hossam Ali | Pharmacy Technician | 2700 S 60th St, Milwaukee, WI 53219-3151 | 2020-04-17 |
| 1649816026 | James Allen Worthey | Pharmacy Technician | 2001 N Central Ave, Marshfield, WI 54449-8337 | 2019-11-20 |
| 1821651563 | Leighton A Becher | Pharmacy Technician | 1900 South Ave, La Crosse, WI 54601-5496 | 2019-04-18 |
| 1861902751 | Brandon Tyra | Pharmacy Technician | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2017-10-05 |
| 1548714462 | Katrina Wellnitz | Pharmacy Technician | 160 Business Park Cir, Stoughton, WI 53589-3392 | 2016-08-09 |
| Find all providers with the same taxonomy | ||||
| City | PRAIRIE DU SAC |
| Zip Code | 53578 |
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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.