DR. MATTHEW JOHNSON (NPI# 1790073344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790073344 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW JOHNSON |
| Credential | PHARMD |
| Practice Address |
928 Gold Hill Rd Fort Mill SC 29708-7947 |
| Practice Telephone | 8035487197 |
| Mailing Telephone | 8035487197 |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2012-12-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 13382 | SC | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 21976 | NC | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | STATE LICENSE NUMBER | 21976 | 01 |
| SC | STATE LICENSE NUMBER | PH-13382 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336706514 | Matthew Thomas Johnson | Counselor | 4643 American Legion Rd Se, Iowa City, IA 52240-9057 | 2019-05-23 |
| 1053870717 | Matthew Johnson | Physician Assistant | 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 | 2019-03-12 |
| 1023523016 | Matthew Johnson | Specialist/Technologist | 51 Armstrong Rd, Enfield, CT 06082-2731 | 2017-12-12 |
| 1881105914 | Matthew Alan Johnson | Optometrist | 360 Merrimack St Bldg 91, Lawrence, MA 01843-1740 | 2017-10-16 |
| 1801324991 | Matthew Allen Johnson | Psychologist | 1812 Sumner Ave Ste 1, Aberdeen, WA 98520-4602 | 2017-06-01 |
| 1306377288 | Matthew Johnson | Specialist/Technologist | 713 Mill Grove Dr, Audubon, PA 19403 | 2017-03-23 |
| 1386026003 | Matthew Johnson | Dentist | 72 Ashe St Apt A, Charleston, SC 29403-5964 | 2015-06-18 |
| 1992183057 | Matthew Johnson | Specialist/Technologist | 18220 San Lucas Ct, Brookfield, WI 53045-3870 | 2015-05-11 |
| 1487058582 | Matthew John Johnson | Specialist/Technologist | 27 Whittier Dr, Greenlawn, NY 11740-2609 | 2014-10-17 |
| 1265845945 | Matthew Johnson | Behavioral Analyst | 504 S Hays Ave Apt 5, Carbondale, IL 62901-2631 | 2014-06-10 |
| Street Address |
928 GOLD HILL RD |
| City | FORT MILL |
| State | SC |
| Zip Code | 29708-7947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386015667 | Jessica Carrillo | Pharmacist | 928 Gold Hill Rd, Fort Mill, SC 29708-7947 | 2015-10-13 |
| 1467861872 | Catlin Beaucage | Pharmacist | 928 Gold Hill Rd, Pharmacy, Fort Mill, SC 29708-7947 | 2014-08-11 |
| 1821333501 | Elizabeth H Ostrander | Pharmacist | 928 Gold Hill Rd, Fort Mill, SC 29708 | 2012-12-06 |
| 1083964829 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 928 Gold Hill Rd, Fort Mill, SC 29708-7947 | 2012-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265089098 | Jennifer Priory O'keefe | Nurse Practitioner | 117 Stone Village Dr., Fort Mill, SC 29708 | 2019-08-26 |
| 1144790577 | Mary Kathleen Gerber | Speech-Language Pathologist | 1874 Second Baxter Crossing, Fort Mill, SC 29708 | 2018-11-28 |
| 1275016263 | R.e. Offutt, Dds, Ms and B.l. Cockerham Dds, Msp, Pllc | Dentist | 929 Market St, Fort Mill, SC 29708 | 2018-09-14 |
| 1861985384 | Hf Care Services LLC | Counselor | 150 B.w. Thomas Dr., 108, Fort Mills, SC 29708 | 2018-06-09 |
| 1134619802 | Myeyedr Optometry of South Carolina, LLC | Optometrist | 1826 Highway 160 W Ste 101, Fort Mill, SC 29708 | 2018-05-17 |
| 1255832549 | Lakeshore Dental Inc. | Dentist | 1200 Gold Hill Road, Fort Mill, SC 29708 | 2018-02-22 |
| 1407362338 | Smith Physical Therapy and Wellness | Physical Therapist | 2435 Highway 160 West, Suite 108, Tega Cay, SC 29708 | 2017-12-14 |
| 1841704244 | Modern Concepts, LLC | General Practice | 1808 Second Baxter Xing Ste 108, Fort Mill, SC 29708 | 2017-11-21 |
| 1942729355 | Alexis Rose Muttillo | Specialist/Technologist | 1054 Cameron Creek Pkwy, Tega Cay, SC 29708 | 2017-09-18 |
| 1407308208 | Brenda Terry | Acupuncturist | 1171 Market Street, Ste # 112, Fort Mill, SC 29708 | 2016-10-27 |
| Find all providers in zip 29708 | ||||
| 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 |
|---|---|---|---|---|
| 1780281170 | Hannah L Russell | Pharmacist | 2954 Eppington South Dr, Fort Mill, SC 29708-6949 | 2020-10-08 |
| 1891337515 | Brooke Sindel | Pharmacist | 500 Mercantile Pl, Fort Mill, SC 29715-0136 | 2019-10-14 |
| 1114319811 | Cvs Pharmacy | Pharmacist | 1631 Paddock Club Ln, Unit 108, Fort Mill, SC 29715-5553 | 2015-03-04 |
| 1134519739 | Meera Patel | Pharmacist | 1860 Wimbleton Wood Dr, Fort Mill, SC 29708-8463 | 2015-02-03 |
| 1356759161 | Mark Vanourny | Pharmacist | 161 Black Mountain Dr, Fort Mill, SC 29708-6505 | 2014-07-24 |
| 1780976738 | Unjoung Kane | Pharmacist | 2907 West Highway 160, Fort Mill, SC 29707 | 2011-05-10 |
| 1023309184 | John D Hoelscher IIi | Pharmacist | 524 Cuxhaven Ct, Fort Mill, SC 29715-7321 | 2011-04-25 |
| 1396043246 | Robert Inman Hodges | Pharmacist | 500 Mercantile Place, Pharmacy, Fort Mill, SC 29715 | 2011-03-02 |
| 1992001267 | Charles Russell Jaco | Pharmacist | 510 Botley Ct Apt 306, Fort Mill, SC 29708 | 2011-02-04 |
| 1265738694 | Amanda Joy Lake | Pharmacist | 219 Glenville Dr, Fort Mill, SC 29715-5815 | 2011-02-02 |
| Find all providers in FORT MILL | ||||
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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.