THERESA ANN JOHNSON (NPI# 1639770985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639770985 |
| Entity Type | Individual |
| Full Name | THERESA ANN JOHNSON |
| Practice Address |
100 S High Cross Rd Urbana IL 61802-7804 |
| Mailing Address |
1734 S Stone Creek Blvd Urbana IL 61802-9667 |
| Practice Telephone | 2173900273 |
| Mailing Telephone | 2173557956 |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051-039192 | IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558980938 | Theresa Johnson | Counselor | 3230 C St Ste 100, Anchorage, AK 99503-3918 | 2020-04-15 |
| 1841768835 | Theresa Johnson | Counselor | 1917 Black Creek Pkwy, Gadsden, AL 35904-4584 | 2018-11-07 |
| 1376045997 | Theresa Johnson | Licensed Practical Nurse | 1305 N 2nd St, Ishpeming, MI 49849-1147 | 2018-02-28 |
| 1912410481 | Theresa Hope Johnson | Counselor | 5001 Highway 190 E, Suite B-1, Covington, LA 70433 | 2017-11-07 |
| 1194269480 | Theresa Johnson | Physical Therapist | 11418 W Wolf Tooth Pass, Littleton, CO 80127-4026 | 2016-12-06 |
| 1649609082 | Theresa Bechdol Johnson | Behavioral Analyst | 2756 S Hooker St, Denver, CO 80236-2508 | 2013-11-06 |
| 1639431901 | Theresa Marie Johnson | Specialist | 465 Locust Ave, Amsterdam, NY 12010-1927 | 2012-06-13 |
| 1396012928 | Theresa Johnson | Community Health Worker | 5750 40th Ave, Sears, MI 49679-7003 | 2011-11-28 |
| 1396020053 | Theresa Ann Johnson | Registered Nurse | 1 Scouting Blvd., Medford, NY 11763 | 2011-10-13 |
| 1124300538 | Theresa Diane Johnson | Psychologist | 3350 Ridgelake Dr Ste 100, Metairie, LA 70002-3829 | 2011-09-12 |
| Street Address |
100 S HIGH CROSS RD |
| City | URBANA |
| State | IL |
| Zip Code | 61802-7804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669499968 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 100 S High Cross Rd, Urbana, IL 61802-7804 | 2006-07-16 |
| 1285234898 | Laura Ann Dickey | Pharmacist | 100 S High Cross Rd, Urbana, IL 61802-7804 | 2020-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932756186 | Guadalupe Guzman | Technician | 3205 E Airport Rd, Urbana, IL 61802 | 2019-08-22 |
| 1306303714 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 520 N Cunningham Avenue, 5 Points Shopping Center, Urbana, IL 61802 | 2019-02-22 |
| 1447769591 | Joe Mata | Non-emergency Medical Transport (VAN) | 606 Oakland Ave Apt 212, Urbana, IL 61802 | 2017-09-20 |
| 1326423153 | Allison Donald | Occupational Therapy Assistant | 500 Bartell Rd., Urbana, IL 61802 | 2015-07-22 |
| 1083013874 | Erin E Gianaras | Pharmacist | 2500 S Philo Rd, Urbana, IL 61802 | 2014-08-18 |
| 1881962744 | Nataly Briceno Guerrero | Occupational Therapist | 805 S Sunny Lane, Urbana, IL 61802 | 2011-12-07 |
| 1184917643 | Melody Meyer | Physical Therapy Assistant | 1704 E Amber Glenn Road, Urbana, IL 61802 | 2011-05-17 |
| 1265736110 | Blueprint | Social Worker | 2704 Boulder Drive, Suite B, Urbana, IL 61802 | 2011-01-07 |
| 1497989040 | Jennifer Renee Davis | Rehabilitation Counselor | 1513 County Rd 2300 North, Urbana, IL 61802 | 2009-05-12 |
| 1356543060 | Shan Brown | Nurse Practitioner | 2158 C.r. 1900 E., Urbana, IL 61802 | 2007-06-04 |
| Find all providers in zip 61802 | ||||
| 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 |
|---|---|---|---|---|
| 1538769054 | Jerry Richard Powell | Pharmacist | 3595 N State Route 560, Urbana, OH 43078-9367 | 2020-10-26 |
| 1003341488 | Kimberly Hayes | Pharmacist | 1637 E Us Highway 36, Urbana, OH 43078-9156 | 2017-04-24 |
| 1366043523 | Heather Townsend | Pharmacist | 1840 E Us Highway 36, Urbana, OH 43078-9600 | 2020-11-04 |
| 1285234898 | Laura Ann Dickey | Pharmacist | 100 S High Cross Rd, Urbana, IL 61802-7804 | 2020-11-01 |
| 1417561473 | Vincent Chen | Pharmacist | 302 E University Ave, Urbana, IL 61802 | 2020-09-06 |
| 1871105957 | Ashley E Righter | Pharmacist | 302 E University Ave, Urbana, IL 61802-2500 | 2020-08-19 |
| 1265043996 | Brett E Smith | Pharmacist | 602 W University Ave, Urbana, IL 61801-2530 | 2020-08-14 |
| 1013528785 | Derek Christopher Joseph Jr. | Pharmacist | 1801 Philo Rd, Urbana, IL 61802-6015 | 2020-08-14 |
| 1447879408 | Denise Marie Clevenger | Pharmacist | 1840 E Us Highway 36, Urbana, OH 43078-9600 | 2020-04-10 |
| 1326678483 | Delicia L Benson | Pharmacist | 2500 Philo Rd, Urbana, IL 61802-8044 | 2020-01-16 |
| Find all providers in URBANA | ||||
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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.