DARYL KEVIN JOHNSON II (NPI# 1194324541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194324541 |
| Entity Type | Individual |
| Full Name | DARYL KEVIN JOHNSON II |
| Practice Address |
10800 Iron Bridge Rd Chester VA 23831-1628 |
| Practice Telephone | 8043185580 |
| Practice Fax Number | 8043185582 |
| Mailing Telephone | 8043185580 |
| Mailing Fax Number | 8043185582 |
| Enumeration Date | 2020-10-17 |
| Last Update Date | 2020-10-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
0202215160 | VA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619985272 | Daryl Lance Johnson | Dentist | 1313 W Highway 8, Cleveland, MS 38732-2240 | 2006-08-03 |
| 1710152426 | Daryl Mae Johnson | Counselor | 4757 N 76th St, Milwaukee, WI 53218-4732 | 2008-04-23 |
| 1902095664 | Daryl Aundra Johnson | Neurological Surgery | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2007-10-18 |
| 1922139336 | Daryl Johnson | Rehabilitation Practitioner | 8836 S Vermont Ave, Los Angeles, CA 90044-4832 | 2007-03-08 |
| 1366591273 | Daryl L. Johnson | Dentist | 128 Ross St, Molalla, OR 97038-9390 | 2007-01-09 |
| Street Address |
10800 IRON BRIDGE RD |
| City | CHESTER |
| State | VA |
| Zip Code | 23831-1628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982752580 | Deborah Hall Winbush | Nurse Practitioner | 10800 Iron Bridge Rd, Chester, VA 23831-1628 | 2007-01-08 |
| 1558910083 | Amanda J. Turissini | Nurse Practitioner | 10800 Iron Bridge Rd, Chester, VA 23831-1628 | 2019-09-07 |
| 1437698057 | Jasmine Huskey | Nurse Practitioner | 10800 Iron Bridge Rd, Chester, VA 23831 | 2017-02-15 |
| 1073052783 | Keilah Yisrael | Nurse Practitioner | 10800 Iron Bridge Rd, Chester, VA 23831-1628 | 2017-02-14 |
| 1730561895 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 10800 Iron Bridge Rd, Chester, VA 23831-1628 | 2015-06-25 |
| 1679846117 | Jennifer M Hubbard-davis | Nurse Practitioner | 10800 Iron Bridge Rd, Chester, VA 23831-1628 | 2012-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588262653 | Jeanne Spence | Dentist | 11846 Jefferson Davis Hwy, Chester, VA 23831 | 2020-10-12 |
| 1396358610 | Ronica Williams | Clinical Nurse Specialist | 12200 Ironbridge Road, Chester, VA 23831 | 2020-08-26 |
| 1891332466 | Blossom Health Services LLC | Home Health | 11312 Ludgate Place, Chester, VA 23831 | 2019-12-03 |
| 1780144881 | Positive Life Behavioral Health Services | Community/Behavioral Health | 3740 West Hundred Road, Chester, VA 23831 | 2019-03-23 |
| 1093201766 | Susan Wade | Speech-Language Pathologist | The Crossings At Ironbridge, 6701 Ironbridge Pkwy, Chester, VA 23831 | 2018-07-06 |
| 1225530793 | Rachel Victoria Mullins | Speech-Language Pathologist | 5200 Ecoff Ave, Chester, VA 23831 | 2018-03-01 |
| 1194196923 | Elpidia Victoria Elliott | Occupational Therapist | 10600 Hamlin Way, Chester, VA 23831 | 2015-10-20 |
| 1558751750 | Welcome Home Family Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3931 Hamlin Creek Court, Chester, VA 23831 | 2015-01-27 |
| 1083019525 | Shwetha Rodrigues Dds PC | Preferred Provider Organization | 12517 Jefferson Davis Highway, Chester, VA 23831 | 2014-10-27 |
| 1659781631 | Advanced Orthopaedic Centers | Orthopaedic Surgery | 12200 Branders Creek Drive, Chester, VA 23831 | 2014-04-30 |
| Find all providers in zip 23831 | ||||
| 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 |
|---|---|---|---|---|
| 1295363984 | Vandorn Apothecary | Pharmacist | 5724 Edsall Rd, Alexandria, VA 22304-4712 | 2020-03-30 |
| 1285261701 | Kimberly Varney | Pharmacist | 401 N 12th St Dept Of, Richmond, VA 23298-5035 | 2020-03-25 |
| 1124651641 | Wintana T Tekleab | Pharmacist | 1201 S Eads St Apt 314, Arlington, VA 22202-2837 | 2020-02-13 |
| 1114557519 | Phillip Ryan Gray | Pharmacist | 2821 Hicks Road, North Chesterfield, VA 23235-0000 | 2020-01-24 |
| 1447880109 | Sara Hudson | Pharmacist | 2821 Hicks Rd, North Chesterfield, VA 23235 | 2020-01-22 |
| 1053951301 | Christina Debra O'neal | Pharmacist | 6460 Grand Retreat Drive Apt 3037, Roanoke, VA 24019 | 2020-01-14 |
| 1609413376 | Laurie Ferguson Mauthe | Pharmacist | 5801 Pollard Dr, Richmond, VA 23226-1830 | 2019-12-02 |
| 1386124303 | Thomas W Taylor | Pharmacist | 240 Mclaws Circle, Suite 147, Williamsburg, VA 23185-2318 | 2018-08-20 |
| 1659886539 | Oscar Macapobre | Pharmacist | 1620 Cedar Rd Ste 100, Chesapeake, VA 23322-7197 | 2017-12-13 |
| 1598139040 | Tina Kathryn Brockman | Pharmacist | 3420 Chaparral Dr, Apt 232, Roanoke, VA 24018-4903 | 2015-11-20 |
| 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.