MISS WALLACE ALLEN JOHNSON JR. (NPI# 1659480838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659480838 |
| Entity Type | Individual |
| Full Name | MISS WALLACE ALLEN JOHNSON JR. |
| Practice Address |
933 Old Rockford St Suite 3 Mount Airy NC 27030-5356 |
| Practice Telephone | 3367890424 |
| Practice Fax Number | 3367890157 |
| Mailing Telephone | 3367890424 |
| Mailing Fax Number | 3367890157 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 07541 | NC | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932355229 | Wallace B Johnson | Dentist | West Lake Road, Mayville, NY 14757-0126 | 2008-08-18 |
| 1639341076 | Wallace Emanuel Johnson | Orthopaedic Surgery | 273 Leeward Ct, Detroit, MI 48207-5053 | 2008-03-26 |
| 1346209020 | Wallace Scott Johnson | Optometrist | 702 10th St, Worthington, MN 56187-2767 | 2006-03-21 |
| 1902833619 | Wallace E Johnson | Internal Medicine | 800 Ayrault Rd Ste 200, Fairport, NY 14450-8941 | 2006-06-27 |
| 1043253867 | Wallace R Johnson | Internal Medicine | 22 S Greene St, Baltimore, MD 21201-1590 | 2006-06-13 |
| Street Address |
933 OLD ROCKFORD ST SUITE 3 |
| City | MOUNT AIRY |
| State | NC |
| Zip Code | 27030-5356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942229497 | Thomas Lin Hamilton Iv | Pharmacist | 933 Old Rockford St, Mount Airy, NC 27030-5356 | 2006-07-18 |
| 1811132194 | G. Bennett Smith, Dds & Lynette L. Smith, Dds, Pa | Clinic/Center | 933 Old Rockford St, Suite #7, Mount Airy, NC 27030-5356 | 2008-12-15 |
| 1285789024 | Wallys Pharmacy Inc | Pharmacy | 933 Old Rockford St, Mount Airy, NC 27030-5356 | 2007-01-24 |
| 1891804084 | Mayberry Pharmacy | Pharmacy | 933 Old Rockford St, Suite 3, Mount Airy, NC 27030-5356 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124475017 | Jeffrey Lynn Hunter | Podiatrist | 367 S Andy Griffith Pkwy # 200, Mount Airy, NC 27030 | 2016-05-20 |
| 1376984880 | Shari York | Counselor | 847 Westlake Dr, Mount Airy, NC 27030 | 2013-07-12 |
| 1861745069 | Surry-yadkin Residential Services, Inc | Intermediate Care Facility, Mentally Retarded | 1305 Park Dr, Mount Airy, NC 27030 | 2012-10-25 |
| 1346592169 | Debra Lynn Campbell | Physician Assistant | 709 West Independence Blvd., Mount Airy, NC 27030 | 2012-10-03 |
| 1720217680 | Lena Anderson Ferris | Nurse Practitioner | 708 S South St Ste 400, Mount Airy, NC 27030 | 2009-07-13 |
| 1013104520 | Tong Li-masters | Internal Medicine | 830 Rockford Street, Winston Salem, NC 27030 | 2007-09-28 |
| 1336261528 | Thomas R Jackson Dds Pa | Dentist | 1007 Rockford Street, Mount Airy, NC 27030 | 2007-04-06 |
| 1467585422 | Ridgecrest Ritirement Community | Assisted Living Facility | Ridgecrest Retirement, LLC, 1000 Ridgecrest Ln., Mount Airy, NC 27030 | 2007-03-13 |
| 1568516755 | Lou Urmos | Family Medicine | 805 Merita Street, Mt Airy, NC 27030 | 2007-01-23 |
| 1568516391 | Mark Lee Appler | Internal Medicine | 708 S South St Ste 100, Mount Airy, NC 27030 | 2007-01-22 |
| Find all providers in zip 27030 | ||||
| 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 |
|---|---|---|---|---|
| 1528474749 | Kirsten Royster | Pharmacist | 725 W Independence Blvd, Mount Airy, NC 27030-3575 | 2014-07-08 |
| 1770715864 | Husam Khaled Mohammad | Pharmacist | 114 E Lebanon St, Mount Airy, NC 27030-3662 | 2009-08-22 |
| 1386886133 | Windy Sue Irwin | Pharmacist | 6050 Torrey Pnes, Mount Airy, MD 21771-8058 | 2009-03-25 |
| 1306991138 | Kathryn J Hamilton | Pharmacist | 281 Snody Rd, Mount Airy, NC 27030-9508 | 2007-01-24 |
| 1942229497 | Thomas Lin Hamilton Iv | Pharmacist | 933 Old Rockford St, Mount Airy, NC 27030-5356 | 2006-07-18 |
| 1356317606 | Johnny Lynn Cox | Pharmacist | 814 Worth St, Mount Airy, NC 27030-4561 | 2006-02-27 |
| 1093316572 | Aparna Reddy | Pharmacist | 209 E Ridgeville Blvd, Mount Airy, MD 21771-5257 | 2020-11-03 |
| 1588264907 | Timothy S Reineke | Pharmacist | 209 E Ridgeville Blvd, Mount Airy, MD 21771-5257 | 2020-10-26 |
| 1295341063 | Alyssa Lynne Hollifield | Pharmacist | 2069 Rockford St, Mount Airy, NC 27030-5203 | 2020-09-17 |
| 1356986731 | Kelly Inman Hull | Pharmacist | 901 N Main St, Mount Airy, NC 27030-3746 | 2019-11-09 |
| Find all providers in MOUNT AIRY | ||||
| City | MOUNT AIRY |
| Zip Code | 27030 |
Please comment or provide details below to improve the information on MISS WALLACE ALLEN JOHNSON JR..
| 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.