MR. BRUCE DALTON JOHNSTON (NPI# 1003249574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003249574 |
| Entity Type | Individual |
| Full Name | MR. BRUCE DALTON JOHNSTON |
| Credential | R.PH. |
| Practice Address |
335 Willow Ave State College PA 16801-7236 |
| Practice Telephone | 8142348771 |
| Mailing Telephone | 8142348771 |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2013-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP024963L | PA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801940689 | Bruce Bower Johnston | Psychologist | 30100 Crown Valley Pkwy, Suite 17, Laguna Niguel, CA 92677-2041 | 2007-01-22 |
| 1780752345 | Bruce M Johnston | Dentist | 2300 N 14th Street, Suite 202, Dodge City, KS 67801 | 2006-12-01 |
| 1780786996 | Bruce C Johnston | Psychiatry & Neurology | 5478a College Ave, Oakland, CA 94618 | 2006-09-01 |
| 1770563488 | Bruce William Johnston | Obstetrics & Gynecology | 200 1st St Sw, Rochester, MN 55905-0001 | 2006-01-19 |
| 1164422770 | Bruce Samuel Johnston | Family Medicine | 901 W Greenwood St, Suite 9, Abbeville, SC 29620-5678 | 2005-07-26 |
| Street Address |
335 WILLOW AVE |
| City | STATE COLLEGE |
| State | PA |
| Zip Code | 16801-7236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851880975 | Creative Reflections Counseling, LLC | Counselor | 315 S Allen St Ste 124b, State College, PA 16801 | 2018-05-03 |
| 1679097901 | Michelle L Grove | Home Health Aide | 2100 E College Ave Ste B, State College, PA 16801 | 2017-07-28 |
| 1740702034 | Matthew Ishler | Counselor | 315 S. Allen Street Ste 326, State College, PA 16801 | 2017-07-09 |
| 1699206300 | Emily Lauer | Specialist/Technologist | 102a Multisport Indoor Facility, State College, PA 16801 | 2017-03-23 |
| 1740721075 | Luk Devorski | Student in an Organized Health Care Education/Training Program | Rec Hall University Park, Penn State University, State College, PA 16801 | 2017-03-20 |
| 1013465764 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 201 West Beaver Avenue, State College, PA 16801 | 2016-09-12 |
| 1740685858 | Mallory L. Miller | Physician Assistant | 100 Radnor Rd Ste 101, State College, PA 16801 | 2014-10-31 |
| 1386053981 | Christopher Hippenmeyer | Specialist/Technologist | 102a East Area Locker Building, Pennsylvania State University, University Park, PA 16801 | 2014-08-07 |
| 1982022059 | Christy Sharer | Counselor | 301 S Allen St Ste 106, State College, PA 16801 | 2014-04-04 |
| 1912250523 | Eva M Letwin | Counselor | 2011 Cato Ave Ste 201, State College, PA 16801 | 2012-10-19 |
| Find all providers in zip 16801 | ||||
| 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 |
|---|---|---|---|---|
| 1073114070 | Casey Joe Kulago | Pharmacist | 2121 S Atherton St, State College, PA 16801-7610 | 2020-11-05 |
| 1073156253 | Naim Haque | Pharmacist | 430 Toftrees Ave Apt 220, State College, PA 16803-1912 | 2019-10-21 |
| 1568981827 | David Scott Kautz | Pharmacist | 1665 North Atherton Place, State College, PA 16803 | 2017-09-18 |
| 1750720496 | Laura C Pondel | Pharmacist | 381 Benner Pike, State College, PA 16801-7304 | 2013-06-16 |
| 1740579051 | David Cantu | Pharmacist | 1536 N Atherton St, State College, PA 16803-3041 | 2011-04-07 |
| 1730478140 | Gary Stroschein | Pharmacist | 1927 S Atherton St, State College, PA 16801-7606 | 2011-04-06 |
| 1851690218 | Debra Mcgregor | Pharmacist | 510 Westerly Pkwy, State College, PA 16801-5905 | 2011-03-23 |
| 1811058316 | Tedd P Niemi | Pharmacist | 724 S Atherton St Ste 100, State College, PA 16801-4628 | 2006-12-12 |
| 1255421731 | Leo Michael Lucci | Pharmacist | 2465 Circleville Rd, Unit 111, State College, PA 16803-3390 | 2006-10-13 |
| 1215949763 | Philip Donald Mcintyre | Pharmacist | 724 S Atherton St, Suite 100, State College, PA 16801-4628 | 2006-08-13 |
| Find all providers in STATE COLLEGE | ||||
| City | STATE COLLEGE |
| Zip Code | 16801 |
Please comment or provide details below to improve the information on MR. BRUCE DALTON JOHNSTON.
| 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.