DR. JEREMY JOHNSON (NPI# 1992186530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992186530 |
| Entity Type | Individual |
| Full Name | DR. JEREMY JOHNSON |
| Credential | PHARM.D. |
| Practice Address |
1141 154th Ave Ne Mayville ND 58257 |
| Mailing Address |
1141 154th Ave Ne Mayville ND 58257-9224 |
| Practice Telephone | 7014303943 |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2015-06-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285243493 | Jeremy Johnson | Specialist/Technologist, Other | 1016 Winding Way Dr, Georgetown, TX 78628-5201 | 2020-07-24 |
| 1801421409 | Jeremy Ray Johnson | Chiropractor | 4155 N Steele Blvd Ste 10, Fayetteville, AR 72703-5377 | 2020-03-04 |
| 1578197984 | Jeremy Ezra Johnson | Specialist/Technologist | 331 Tramway Dr # 16, Stateline, NV 89449-9812 | 2020-02-24 |
| 1194368779 | Jeremy Paul Johnson | Acupuncturist | 1500 W Farwell Ave Apt 3, Chicago, IL 60626-3666 | 2019-10-25 |
| 1457838922 | Jeremy Braxton Johnson | Dietitian, Registered | 283 Walnut St, Baxley, GA 31513-0954 | 2018-07-26 |
| 1306384524 | Jeremy Johnson | Physical Therapy Assistant | 653 Golden Trl, Cave City, AR 72521-9432 | 2017-02-08 |
| 1801274550 | Jeremy Tate Johnson | Specialist/Technologist | 1637 Perryville Rd., Boyle County High School, Danville, KY 40422 | 2015-05-14 |
| 1811374549 | Jeremy V Johnson | Family Medicine | 500b Jefferson Blvd Ste 180, West Sacramento, CA 95605-2394 | 2015-05-01 |
| 1902200660 | Jeremy Johnson | Counselor | 1022 N Prospect St, Bowling Green, OH 43402-1335 | 2014-10-09 |
| 1932488822 | Jeremy Edward Johnson | Pharmacist | 2412 N. Heritage St., Kinston, NC 28501 | 2011-08-09 |
| Street Address |
1141 154TH AVE NE |
| City | MAYVILLE |
| State | ND |
| Zip Code | 58257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861556102 | Union Hospital Society of Mayvile Nd | General Acute Care Hospital | 42 6th Avenue Se, Mayville, ND 58257 | 2006-12-21 |
| 1376635755 | Scott Edward Omdalen | Chiropractor | 45 1st Ave Se, Mayville, ND 58257 | 2006-09-29 |
| 1164522306 | Goose River Dental Assoc., PC | Dentist | 37 1/2 Main St E, Mayville, ND 58257 | 2006-09-25 |
| 1487757423 | Pride Medical Supplies | Durable Medical Equipment & Medical Supplies | 303 Miller Rd, #2019, Scottsdale, AZ 58257 | 2006-09-06 |
| 1689697062 | West Traill Ambulance Service, Inc | Ambulance | 43 7th Ave Se, Mayville, ND 58257 | 2006-07-26 |
| 1831578541 | Travis Waswick | Family Medicine | 600 1st St Se, Mayville, ND 58257 | 2015-05-27 |
| 1346365079 | Omdalen Chiropractic Clinic PC | Chiropractor | 45 1st Ave Se, Mayville, ND 58257 | 2007-03-20 |
| 1568599033 | Union Hospital Society of Mayville Nd | General Acute Care Hospital | 42 6th Avenue Se, Mayville, ND 58257 | 2007-02-28 |
| 1457488975 | Union Hospital Society of Mayville Nd | General Acute Care Hospital | 42 6th Avenue Se, Mayville, ND 58257 | 2007-02-28 |
| 1003996786 | Susan R Willyard | Dietitian, Registered | 42 6th Ave Se, Union Hospital, Mayville, ND 58257 | 2006-10-16 |
| Find all providers in zip 58257 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821471 | Kari Hanson | Student in an Organized Health Care Education/Training Program | 4822 N 19th St, Bismarck, ND 58503-5687 | 2020-11-03 |
| 1710597091 | Taylor Vistad | Student in an Organized Health Care Education/Training Program | 1220 5th Ave Ne, Devils Lake, ND 58301-1934 | 2020-08-03 |
| 1609497965 | Austin Richard Hoggarth | Student in an Organized Health Care Education/Training Program | 15010 Sundown Dr, Bismarck, ND 58503-9207 | 2020-04-28 |
| 1356976534 | Erica Wiechert | Student in an Organized Health Care Education/Training Program | 3850 Gardenview Dr Apt 209, Grand Forks, ND 58201-7154 | 2020-03-07 |
| 1740826817 | Kyler Delancey | Student in an Organized Health Care Education/Training Program | 409 Cambridge St, Grand Forks, ND 58203-2836 | 2019-11-22 |
| 1265093900 | Coty Winn | Student in an Organized Health Care Education/Training Program | Minot Afb Medical Group, 194 Missile Avenue, Minot Afb, ND 58705 | 2019-06-24 |
| 1275190779 | Anthony Joseph Duncan | Student in an Organized Health Care Education/Training Program | 1919 Elm Streent North, Fargo, ND 58102 | 2019-05-21 |
| 1841759164 | Mark Bushaw | Student in an Organized Health Care Education/Training Program | 2850 36th Ave S Apt C6, Grand Forks, ND 58201-3583 | 2019-03-16 |
| 1396203709 | Victoria Ann Davis | Student in an Organized Health Care Education/Training Program | 1340 Administration Avenue, Fargo, ND 58105 | 2019-03-05 |
| 1598229585 | Natalie Jean Steblay | Student in an Organized Health Care Education/Training Program | 1638 9th St N, Fargo, ND 58102-2210 | 2019-01-24 |
| Find all providers with the same taxonomy | ||||
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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.