BRIAN R JOHNSON (NPI# 1801118542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801118542 |
| Entity Type | Individual |
| Full Name | BRIAN R JOHNSON |
| Credential | RPH |
| Practice Address |
3201 White Bear Ave N White Bear Lake MN 55110-5402 |
| Practice Telephone | 6517700311 |
| Mailing Telephone | 6517700311 |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2010-02-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 112050 | MN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871617 | Brian Anders Johnson | Student in an Organized Health Care Education/Training Program | 720 S River Rd Ste B105, St George, UT 84790-5704 | 2020-11-05 |
| 1669002630 | Brian A Johnson | Counselor | 16978 W Santiago Cir, Hauser, ID 83854-8153 | 2020-01-18 |
| 1770063687 | Brian Johnson | Optometrist | 1200 W Godfrey Avenue, Philadelphia, PA 19141-3323 | 2018-08-20 |
| 1467979013 | Brian R Johnson Jr. | Massage Therapist | 275 Sw 160th St Ste 201, Burien, WA 98166-3003 | 2017-08-24 |
| 1851817316 | Brian Johnson | Driver | 2919 Providence Creek Rd, North Chesterfield, VA 23236-5267 | 2017-08-16 |
| 1033630330 | Brian Bradley Johnson | Pediatrics | Children's Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2017-06-28 |
| 1356870158 | Brian Johnson | Private Vehicle | 52 Saint Pauls Rd, Warsaw, VA 22572-4436 | 2017-06-06 |
| 1538601554 | Brian David Johnson | Occupational Therapist | 7370 Cabot Ct Ste 101, Melbourne, FL 32940-8263 | 2016-11-08 |
| 1548630122 | Brian Johnson | Technician, Cardiology | 1163 Bridge Mill Ave, Canton, GA 30114-7713 | 2015-09-25 |
| 1093111817 | Brian Johnson | Home Health | 9446 Crockett Pass, Hamilton, OH 45011-9054 | 2014-11-05 |
| Street Address |
3201 WHITE BEAR AVE N |
| City | WHITE BEAR LAKE |
| State | MN |
| Zip Code | 55110-5402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073833885 | Patrick Kenzie | Pharmacist | 3201 White Bear Ave N, White Bear Lake, MN 55110-5402 | 2010-06-03 |
| 1851322853 | K Mart Corp | Pharmacy | 3201 White Bear Ave N, White Bear Lake, MN 55110-5402 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467071084 | St. Catherine University School Based Health Clinic | Nurse Practitioner | 5045 Division Ave, White Bear Lake, MN 55110 | 2020-04-14 |
| 1922450618 | Lisa Marie Thatcher | Podiatrist | 4653 White Bear Pkwy., St. Paul, MN 55110 | 2016-07-06 |
| 1558725598 | White Bear Dentists, PC | Dentist | 1970 Buerkle Road, White Bear Lake, MN 55110 | 2016-04-06 |
| 1124486246 | Julie Blaske | Counselor | 1310 Hwy 96 E, Suite 200, White Bear Lake, MN 55110 | 2016-02-03 |
| 1851761514 | Supervalu Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 1920 Buerkle Rd, White Bear Lake, MN 55110 | 2015-10-06 |
| 1821496969 | Leah Eichmiller | Acupuncturist | 2183 3rd Street, C/o Indulge Salon, White Bear Lake, MN 55110 | 2014-12-05 |
| 1447672084 | Ashley Rath | Chiropractor | 1247 Gun Club Rd., White Bear Lake, MN 55110 | 2014-01-16 |
| 1790121291 | Advanced Medical Home Care, LLC | Home Health | 2555 County Road E East, Suite 101, White Bear Lake, MN 55110 | 2013-05-11 |
| 1134468465 | Emergency Physicians Professional Association | Clinic/Center | 1159 E. County Road E, Vadnais Heights, MN 55110 | 2013-02-06 |
| 1639444284 | Rebecca Lynn Blaede | Counselor | 4858 Banning Avenue, White Bear Lake, MN 55110 | 2012-03-15 |
| Find all providers in zip 55110 | ||||
| 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 |
|---|---|---|---|---|
| 1861645426 | Joseph Norman Jorgenson | Pharmacist | 2008 County Road E E, White Bear Lake, MN 55110-7333 | 2008-10-28 |
| 1528675931 | Madison Lynne Kreuser | Pharmacist | 915 Wildwood Rd, White Bear Lake, MN 55115-1847 | 2020-09-29 |
| 1407475239 | Malini Vang | Pharmacist | 915 Wildwood Rd, White Bear Lake, MN 55115-1847 | 2020-04-12 |
| 1467087726 | Katerina Goncharuk | Pharmacist | 2730 County Road E E, White Bear Lake, MN 55110-4963 | 2020-03-06 |
| 1144775982 | Barbara Beasy | Pharmacist | 1850 Buerkle Rd, White Bear Lake, MN 55110-5245 | 2016-08-22 |
| 1326593229 | Ada Stasny | Pharmacist | 1850 Buerkle Rd, White Bear Lake, MN 55110-5245 | 2016-08-20 |
| 1144625062 | John Michael Sellner | Pharmacist | 915 Wildwood Rd, White Bear Lake, MN 55115-1847 | 2014-11-04 |
| 1962772392 | Allyson Lorang | Pharmacist | 915 Wildwood Rd, White Bear Lake, MN 55115-1847 | 2012-01-02 |
| 1992081129 | Diem Ngoc Nguyen | Pharmacist | 915 Wildwood Rd, White Bear Lake, MN 55115-1847 | 2011-11-02 |
| 1093091019 | Komal Desai | Pharmacist | 915 Wildwood Rd, White Bear Lake, MN 55115-1847 | 2011-10-24 |
| Find all providers in WHITE BEAR LAKE | ||||
| City | WHITE BEAR LAKE |
| Zip Code | 55110 |
Please comment or provide details below to improve the information on BRIAN R 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.