COY JOHNSON (NPI# 1104437466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104437466 |
Entity Type | Individual |
Full Name | COY JOHNSON |
Credential | PHARMD |
Practice Address |
3300 Texas Sage Trl Fort Worth TX 76177-8600 |
Mailing Address |
1233 Shalimar Dr Fort Worth TX 76131-3375 |
Practice Telephone | 8177502041 |
Mailing Telephone | 8173600030 |
Enumeration Date | 2020-08-11 |
Last Update Date | 2020-08-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
41197 | TX | Pharmacy Service Providers |
Street Address |
3300 TEXAS SAGE TRL |
City | FORT WORTH |
State | TX |
Zip Code | 76177-8600 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336442490 | Kroger Texas L P | Durable Medical Equipment & Medical Supplies | 3300 Texas Sage Trl, Fort Worth, TX 76177-8600 | 2010-12-13 |
1053919555 | Chad Weissinger | Pharmacist | 3300 Texas Sage Trl, Fort Worth, TX 76177-8600 | 2020-10-15 |
1285257329 | Kathy T Arai | Pharmacist | 3300 Texas Sage Trl, Fort Worth, TX 76177-8600 | 2020-05-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225685449 | Cody Brown Dds Pllc | Dentist | 2701 W Heritage Trace Pkwy, Ste 130, Fort Worth, TX 76177 | 2019-08-22 |
1144782889 | Daniel Max & Marcandrea LLC | Optometrist | 8901 N. Freeway Service Rd E, Ste 105, Fort Worth, TX 76177 | 2019-04-02 |
1194296202 | Fresenius Medical Care Keller, LLC | Clinic/Center | 3700 N Tarrant Pkwy, Fort Worth, TX 76177 | 2018-12-16 |
1861961310 | Daniel Max & Marcandrea, LLC | Optometrist | 3524 Highway 114, Suite 300, Forth Worth, TX 76177 | 2018-11-14 |
1447732896 | Alexis Etienne Ingleton | Assisted Living Facility | 15840 Badger Creek Lm, Fort Worth, TX 76177 | 2018-09-02 |
1023526365 | J&l Dental Group, Pllc | Clinic/Center | 2401 Heritage Trace Parkway, Suite 121, Fort Worth, TX 76177 | 2018-01-22 |
1689115438 | Hayley Blackwood | Psychologist | 15833 Bent Rose Way, Fort Worth, TX 76177 | 2017-03-13 |
1013463256 | Elianne Griselle Alarcon | Dentist | 8917 N. Freeway, Suite 117, Fort Worth, TX 76177 | 2016-08-28 |
1962877373 | Home Town Dental Alliance | Dentist | 8901 Tehama, Suite 119, Forth Worth, TX 76177 | 2015-12-10 |
1003280686 | Susan Akberzie | Nurse Practitioner | 3400 Texas Sage Trl Ste 148, Fort Worth, TX 76177 | 2015-11-19 |
Find all providers in zip 76177 |
Taxonomy Code | 1835P0018X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598196446 | Cheryl Dawn Jorgenson | Pharmacist | 401 South Jim Wright Freeway, Suite 102, Fort Worth, TX 76108 | 2013-12-03 |
1669810586 | Ralph Winston Jr. | Pharmacist | 3513 Welsh Ct, Fort Worth, TX 76244-9473 | 2013-06-13 |
1356640049 | Gregory W Gossman | Pharmacist | 3921 Hwy 377 South, Fort Worth, TX 76116 | 2011-03-21 |
1528667961 | Jae Ki Lee | Pharmacist | 6650 N Beach St, Fort Worth, TX 76137-1801 | 2020-10-17 |
1053919555 | Chad Weissinger | Pharmacist | 3300 Texas Sage Trl, Fort Worth, TX 76177-8600 | 2020-10-15 |
1053929901 | Brenton C Hall | Pharmacist | 1500 S Main St, Fort Worth, TX 76104-4941 | 2020-07-16 |
1033733936 | Kevin Guilbeau | Pharmacist | 6650 N Beach St, Fort Worth, TX 76137-1801 | 2020-06-05 |
1699306282 | Phung Trinh | Pharmacist | 9114 Camp Bowie West Blvd, Fort Worth, TX 76116-6023 | 2020-01-31 |
1215567961 | Christopher Lowe | Pharmacist | 3510 Altamesa Blvd, Fort Worth, TX 76133-5602 | 2020-01-22 |
1821628769 | Tausha Reeves | Pharmacist | 4750 W Bailey Boswell Rd, Fort Worth, TX 76179-4321 | 2020-01-20 |
Find all providers in FORT WORTH |
City | FORT WORTH |
Zip Code | 76177 |
Please comment or provide details below to improve the information on COY 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.