PENELOPE AVRA JOHNSON (NPI# 1962743070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962743070 |
| Entity Type | Individual |
| Full Name | PENELOPE AVRA JOHNSON |
| Other Name | PENELOPE AVRA MANOLIS |
| Credential | PHARMD, BCPS |
| Practice Address |
3141 Centennial Blvd Colorado Springs CO 80907-4094 |
| Practice Telephone | 7192274366 |
| Practice Fax Number | 7192274655 |
| Mailing Telephone | 7192274366 |
| Mailing Fax Number | 7192274655 |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2015-03-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
14995 | CO | Pharmacy Service Providers |
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
14995 | CO | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063713592 | Penelope Johnson | Behavioral Analyst | 6601 Chapman Field Dr, Pinecrest, FL 33156-5523 | 2010-11-15 |
| 1265457493 | Penelope J Johnson | Physical Therapist | 119-c East Dalton St., King, NC 27021-8800 | 2006-07-12 |
| Street Address |
3141 CENTENNIAL BLVD |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80907-4094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548247315 | Edward H Dumontier | Family Medicine | 3141 Centennial Blvd, Colorado Springs, CO 80907-4094 | 2005-12-22 |
| 1902410582 | Lisa Diane Jeske | Licensed Practical Nurse | 3141 Centennial Blvd, Colorado Springs, CO 80907-4094 | 2020-09-01 |
| 1790395127 | Robert Patrick Strawser | Physician Assistant | 3141 Centennial Blvd, Colorado Springs, CO 80907-4094 | 2020-07-31 |
| 1528681772 | Tina Kay Randall | Social Worker | 3141 Centennial Blvd, Colorado Springs, CO 80907-4094 | 2020-05-22 |
| 1821623182 | Bryce Olsen | Physical Therapist | 3141 Centennial Blvd, Colorado Springs, CO 80907-4094 | 2020-03-06 |
| 1770117384 | Jordan Arling Tysdal | Physician Assistant | 3141 Centennial Blvd, Colorado Springs, CO 80907-4094 | 2020-02-24 |
| 1861040735 | James Petersen | Social Worker | 3141 Centennial Blvd, Colorado Springs, CO 80907-4094 | 2019-09-03 |
| 1669029419 | George Santini | Family Medicine | 3141 Centennial Blvd, Colorado Springs, CO 80907-4094 | 2019-08-26 |
| 1750866489 | Anna Hamilton Staudenmeyer | Psychologist | 3141 Centennial Blvd, Colorado Springs, CO 80907-4094 | 2018-09-28 |
| 1588144158 | Laura Stocks | Social Worker | 3141 Centennial Blvd, Colorado Springs, CO 80907-4094 | 2018-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871124057 | Margaret Elizabeth Macnabb | Occupational Therapist | 955 West Fillmore Street, Colorado Springs, CO 80907 | 2020-01-28 |
| 1598300394 | Eric L Peterson | Counselor | 4570 Hilton Pwky, Colorado Springs, CO 80907 | 2019-11-15 |
| 1669020160 | Vcphcs Xii, LLC | Clinic/Center | 4157-4159 Centennial Blvd, Colorado Springs, CO 80907 | 2019-08-28 |
| 1366907123 | Natural Healthcare, LLC | Chiropractor | 3030 N Hancock Ave Suite D, Colorado Springs, CO 80907 | 2019-02-06 |
| 1063981777 | Samuel Ray Porterfield | Social Worker | Pfc Floyd K. Lindstrom Outpatient Clinic, 3141 Centennial Blvd., Colorado Springs, CO 80907 | 2018-11-26 |
| 1982170114 | A Physicians Home Care | Home Health | 905 W Garden of The Gods Rd Suite F, Colorado Springs, CO 80907 | 2018-10-15 |
| 1689196180 | Reena Annetta Manka | Counselor | 888 Garden of The Gods, 150, Colorado Springs, CO 80907 | 2017-07-17 |
| 1356870356 | Solaris Hc Co Inc | Hospice Care, Community Based | 1045 Garden of Gods Rd, Colorado Springs, CO 80907 | 2017-06-05 |
| 1649704826 | Colorado Springs Urological Associates Pllc | Urology | 1644 Medical Center Point, Suite 200, Colorado Springs, CO 80907 | 2017-04-14 |
| 1194274704 | Sarah Lynn Hartman | Dietitian, Registered | 3207 North Academy Blvd, Colorado, CO 80907 | 2016-09-23 |
| Find all providers in zip 80907 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043829526 | Alison Schlang | Pharmacist | 2222 N Nevada Ave, Inpatient Pharmacy, Colorado Springs, CO 80907 | 2020-07-30 |
| 1982068680 | Ike Njiaju | Pharmacist | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2016-04-08 |
| 1952705121 | Sue Anne Zhang | Pharmacist | 3570 Hartsel Dr, Colorado Springs, CO 80920-4165 | 2014-10-17 |
| 1932173762 | Susanne Marie Thornley | Pharmacist | 25 N Spruce St, Colorado Springs, CO 80905-1436 | 2006-02-16 |
| 1598747206 | Katherine Boudreaux | Pharmacist | 225 S Union Blvd, Colorado Springs, CO 80910-3184 | 2005-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286718 | Jordan Dawson | Pharmacist | 8195 W 20th Ave, Lakewood, CO 80214-5500 | 2020-08-19 |
| 1679109110 | Jennifer L Wienold | Pharmacist | 575 Rivergate Unit 111, Durango, CO 81301-7490 | 2020-03-17 |
| 1265956189 | Aldo Boris Vasquez | Pharmacist | 25060 E Ottawa Dr, Aurora, CO 80016-7531 | 2017-08-01 |
| 1689047268 | Tracy Danielle Mahvan | Pharmacist | 7157 Waterford Ct, 7157 Waterford Ct, Niwot, CO 80503-7649 | 2015-11-04 |
| 1962815365 | Kym D Colvin | Pharmacist | 2460 Golden Edge Drive, Kremmling, CO 80458 | 2014-06-04 |
| 1639414790 | Susan High | Pharmacist | 3501 E 7th Avenue Pkwy, Denver, CO 80206-4001 | 2012-11-30 |
| 1265791180 | David Aguirre | Pharmacist | 453 E Wonder View Ave # 1, Estes Park, CO 80517-9647 | 2012-05-12 |
| 1235412651 | Tamara A Thompson | Pharmacist | 20301 Highway 52, Fort Morgan, CO 80701-9009 | 2011-09-21 |
| 1366768012 | Daniel J. Feuer | Pharmacist | 4915 Red Rock Dr, Larkspur, CO 80118-9054 | 2010-04-20 |
| 1598089781 | Jasmine Trang Le | Pharmacist | 2500 S. Havana St, Aurora, CO 80014-0911 | 2010-03-17 |
| Find all providers with the same taxonomy | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80907 |
Please comment or provide details below to improve the information on PENELOPE AVRA 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.