DR. KENNETH WAYNE JOHNSON


Address: 1850 Bluegrass Ave, Louisville, KY 40215-1161
Phone: 5023616015

DR. KENNETH WAYNE JOHNSON (NPI# 1174712715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174712715
Entity Type Individual
Full Name DR. KENNETH WAYNE JOHNSON
Credential PHARMD
Practice Address 1850 Bluegrass Ave
Louisville
KY 40215-1161
Mailing Address 226 Pawnee Dr
Jeffersonville
IN 47130-5245
Practice Telephone 5023616015
Practice Fax Number 5023616529
Mailing Telephone 8122887767
Enumeration Date 2007-10-19
Last Update Date 2007-10-19
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 008527 KY Pharmacy Service Providers
N 183500000X Pharmacist 26014524A IN Pharmacy Service Providers

Other Providers KENNETH JOHNSON

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1487144952 Kenneth Cornell Johnson Jr. Counselor 91 Park Ave W, Mansfield, OH 44902-1630 2018-05-10
1043756414 Kenneth Byron Johnson Physical Therapist 36 Lavelle Court, Unalaska, AK 99685 2017-01-10
1932565280 Kenneth Johnson Case Manager/Care Coordinator 1138 N Dupre St, New Orleans, LA 70119-3204 2015-12-31
1003223298 Kenneth Johnson Specialist/Technologist 6201 San Amaro Dr, Coral Gables, FL 33146-2407 2014-07-19
1831511807 Kenneth Larry Johnson I Local Education Agency (LEA) 216 Ne 19th Ave, Pompano Beach, FL 33060-6743 2014-01-10
1700222544 Kenneth Paul Johnson Pharmacist 506 Augsburg Ave, Bismarck, ND 58504-7005 2013-05-20
1528302635 Kenneth James Johnson Pharmacist 8145 Rhode Island Cir, 1, Bloomington, MN 55438-1152 2012-11-15
1760750194 Kenneth Casper Johnson Obstetrics & Gynecology 3915 Skyline Rd, Carlsbad, CA 92008-2746 2011-12-13
1225305931 Kenneth Lorenzo Johnson Psychologist 7605 W 7 Mile Rd, Detroit, MI 48221-2163 2011-11-23
1528371408 Kenneth Johnson Physical Therapist 10753 Falls Rd Ste 235, Lutherville, MD 21093-4597 2010-07-20

Office Location

Street Address 1850 BLUEGRASS AVE
City LOUISVILLE
State KY
Zip Code 40215-1161

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629071006 Cynthia A Corrigan Pathology 1850 Bluegrass Ave, Pathology Dept, Louisville, KY 40215-1161 2005-05-31
1124654512 Uofl Health-louisville Inc General Acute Care Hospital 1850 Bluegrass Ave, Louisville, KY 40215-4021 2020-03-17
1205480977 Taylor Caitlin Cohen Physician Assistant 1850 Bluegrass Ave, Louisville, KY 40215-1161 2019-07-30
1871079202 Jessica L. Keller Physician Assistant 1850 Bluegrass Ave, Louisville, KY 40215-1161 2018-07-18
1154863496 Dennis Mcgill Nurse Practitioner 1850 Bluegrass Ave, Hma Dept, Louisville, KY 40215-1161 2016-11-16
1538510201 Prateek Mathur Internal Medicine 1850 Bluegrass Ave, Louisville, KY 40215-1161 2016-06-23
1770960387 Colin Moss Emergency Medicine 1850 Bluegrass Ave, Louisville, KY 40215-1161 2015-05-04
1194114173 Gregory Hart Nurse Practitioner 1850 Bluegrass Ave, Louisville, KY 40215-1161 2015-01-14
1730590423 Nisha Aggarwal Internal Medicine 1850 Bluegrass Ave, Louisville, KY 40215-1161 2014-05-15
1710305669 Lp Louisville Hospital South, LLC Skilled Nursing Facility 1850 Bluegrass Ave, Unit 3c, Louisville, KY 40215-1161 2014-03-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417473315 Robin Jones Behavioral Analyst 800 W. Woodlawn Ave, Louisville, KY 40215 2017-08-22
1316332448 Christopher Fenzel Emergency Medicine 1850 Bluegrass Avenue, Louisville, KY 40215 2015-04-06
1447661210 Khac Phuong Vu Dentist 3448 Taylor Boulevard, Louisville, KY 40215 2014-05-15
1619251238 Scott H Kaminsky Marriage & Family Therapist 3535 Taylor Blvd, Louisville, KY 40215 2011-09-30
1821313529 Taylor Blvd Chiropractic Chiropractor 3254 Taylor Blvd, Louisville, KY 40215 2010-04-06
1396985131 Jewish Hospital & St. Mary's Healthcare, Inc. Psychiatric Residential Treatment Facility 4419 Lasalle Ave, Louisville, KY 40215 2009-03-05
1841448735 Jewish Hospital & St. Mary's Healthcare, Inc. Psychiatric Residential Treatment Facility 4418 Malcolm Ave., Louisville, KY 40215 2008-09-04
1235329400 Thad R. Schulten Psc Dentist 4515 Churchman Ave., Louisville, KY 40215 2007-07-25
1801911680 Timothy John Lutes Dentist 3205 Taylor Blvd, Louisville, KY 40215 2007-03-20
1063557346 Louisville-jefferson County Metro Government Public Health or Welfare 4255 Hazelwood Avenue, Louisville, KY 40215 2007-02-21
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578164315 Patricia Roberts Pharmacist 6903 Day Break Ct, Louisville, KY 40272-3896 2020-11-06
1457951170 Okey Patrick Mbadike Pharmacist 3616 Buechal By Pass, Louisville, Ky 40218, Louisville, KY 40218 2020-10-30
1699372821 Patricia Bentz Pharmacist 12803 Dove Lake Dr, Louisville, KY 40299-8341 2020-10-01
1629684253 Kristen Sellers Webb Pharmacist 12356 Highway 15 S, Louisville, MS 39339-3700 2020-09-18
1922619840 Keaton Creed Pharmacist 9519 Golders Green Cir Unit 301, Louisville, KY 40229-1382 2020-08-13
1588274195 Katrina Kuban Pharmacist 900 Baxter Ave, Louisville, KY 40204-2047 2020-08-07
1144830829 Madion Olivia Poteet Pharmacist 3814 Breckenridge Ln, Louisville, KY 40218-2881 2020-08-06
1225647159 Mary Beth Ecken Pharmacist 1839 Lauderdale Rd, Louisville, KY 40205-1623 2020-07-27
1851917793 Leanne Nieters Pharmacist 2303 Manchester Rd, Louisville, KY 40205-3045 2020-06-16
1568082295 Amy Gostomski Pharmacist 13410 Eastpoint Centre Dr Ste 101, Louisville, KY 40223-4160 2020-04-22
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Competitor

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City LOUISVILLE
Zip Code 40215

Improve Information

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Dataset Information

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.

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