MATTHEW JOHANSEN (NPI# 1144850157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144850157 |
| Entity Type | Individual |
| Full Name | MATTHEW JOHANSEN |
| Credential | RPH |
| Practice Address |
3510 Altamesa Blvd Fort Worth TX 76133-5602 |
| Practice Telephone | 8172923777 |
| Mailing Telephone | 8172923777 |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2020-01-17 |
| 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 |
44362 | TX | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073821088 | Matthew Trent Johansen | Physical Therapist | 652 S. Medical Center Dr. #ll10, St. George, UT 84790-7017 | 2010-09-24 |
| 1487066320 | Matthew Johansen | Counselor | 2131 S Bonito Way, Meridian, ID 83642-1659 | 2014-05-27 |
| 1265757769 | Matthew Alan Johansen | Orthopaedic Surgery | 6480 Harrison Ave, Cincinnati, OH 45247-7961 | 2010-03-29 |
| Street Address |
3510 ALTAMESA BLVD |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76133-5602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215567961 | Christopher Lowe | Pharmacist | 3510 Altamesa Blvd, Fort Worth, TX 76133-5602 | 2020-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740830645 | Dieseru Healthcare Services LLC. | Technician | 2325 Woodmont Trail, Forth Worth, TX 76133 | 2019-09-13 |
| 1447636212 | Westcreek Animal Clinic P.C. | Veterinarian | 3313 Park Lake Dr., Fort Worth, TX 76133 | 2015-08-04 |
| 1750784286 | Tlc Dentistry of Fort Worth, LLC | Dentist | 7664 Mccart Ave., Fort Worth, TX 76133 | 2014-09-29 |
| 1184047581 | Jene Hunt | Pharmacist | 6225 Westcreek Dr, Fort Worth, TX 76133 | 2014-01-22 |
| 1841538972 | Chelsea Rene Sanders | Speech-Language Pathologist | 6036 Worrell Dr, Fort Worth, TX 76133 | 2013-01-24 |
| 1588926026 | Roger Allan Beck | Internal Medicine | 4509 Fox Fire Way, Fort Worth, TX 76133 | 2012-06-11 |
| 1477812857 | Little Star Rehab | Point of Service | 4525 Altamesa Blvd, Fort Worth, TX 76133 | 2012-05-07 |
| 1477824605 | Lauren Elizabeth Hall | Speech-Language Pathologist | 5316 Trail Lake Drive, Fort Worth, TX 76133 | 2012-01-19 |
| 1770772519 | Sherriann Michelle Erby | Occupational Therapist | 7100 Trail Lake Drive, Fort Worth, TX 76133 | 2007-10-17 |
| 1811193170 | Carol Diane Edley | Speech-Language Pathologist | 4400 Sweetgum Way, Ft Worth, TX 76133 | 2007-06-25 |
| Find all providers in zip 76133 | ||||
| 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 |
| 1104437466 | Coy Johnson | Pharmacist | 3300 Texas Sage Trl, Fort Worth, TX 76177-8600 | 2020-08-11 |
| 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 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76133 |
Please comment or provide details below to improve the information on MATTHEW JOHANSEN.
| 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.