DR. KAITLYN JOHNSON (NPI# 1255959177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255959177 |
| Entity Type | Individual |
| Full Name | DR. KAITLYN JOHNSON |
| Credential | PHARMD |
| Practice Address |
1212 E Sherman Blvd Muskegon MI 49444-1879 |
| Mailing Address |
19343 Rosemary Rd Spring Lake MI 49456-9664 |
| Practice Telephone | 6165029383 |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2020-07-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5302411800 | MI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457965030 | Kaitlyn Rae Johnson | Dietitian, Registered | 3950 Celtic Ln, Fort Collins, CO 80524-6482 | 2020-09-01 |
| 1750737060 | Kaitlyn Johnson | Chiropractor | 5960 Howdershell Rd Ste 204, Hazelwood, MO 63042-4103 | 2016-05-05 |
| 1699178269 | Kaitlyn Johnson | Massage Therapist | 15678 S Bradley Rd, Suite P, Oregon City, OR 97045-9292 | 2014-09-26 |
| 1407497597 | Kaitlyn Johnson | Behavior Technician | 2230 Saratoga Blvd, Corpus Christi, TX 78417-3400 | 2019-10-01 |
| 1902452014 | Kaitlyn Melissa Johnson | Behavioral Analyst | 541 Sr 664 N, Suite C, Logan, OH 43138-1014 | 2019-08-14 |
| 1346807641 | Kaitlyn Anne Johnson | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Peds Residency, 980264, 1250 E Marshall Street, Richmond, VA 23298-0264 | 2019-05-22 |
| 1518473362 | Kaitlyn Johnson | Case Manager/Care Coordinator | 600 Highway 425 N, Monticello, AR 71655-4020 | 2017-12-15 |
| 1376057364 | Kaitlyn Marie Johnson | Nurse Anesthetist, Certified Registered | 1 Cooper Plz, Camden, NJ 08103-1461 | 2017-11-29 |
| 1184137408 | Kaitlyn Johnson | Behavior Technician | 13 Centennial Dr, North Grafton, MA 01536-1860 | 2017-11-08 |
| 1669997672 | Kaitlyn Reaux Johnson | Occupational Therapist | 204 E Saint Peter St, Carencro, LA 70520-4009 | 2017-08-10 |
| Street Address |
1212 E SHERMAN BLVD |
| City | MUSKEGON |
| State | MI |
| Zip Code | 49444-1879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306844055 | Robert J Eastway | Internal Medicine | 1212 E Sherman Blvd, Muskegon, MI 49444-1879 | 2005-07-07 |
| 1871108787 | Betty Michell Murphy | Pharmacist | 1212 E Sherman Blvd, Muskegon, MI 49444-1879 | 2020-09-09 |
| 1851924278 | Jodi L Jongekryg | Nurse Practitioner | 1212 E Sherman Blvd, Muskegon, MI 49444-1879 | 2020-02-13 |
| 1073152641 | Danielle Nicole Cook | Physician Assistant | 1212 E Sherman Blvd, Muskegon, MI 49444-1879 | 2019-12-31 |
| 1811536428 | Anthony James Madison | Physician Assistant | 1212 E Sherman Blvd, Muskegon, MI 49444-1879 | 2019-12-30 |
| 1306314802 | Anna Bergevin | Pharmacist | 1212 E Sherman Blvd, Muskegon, MI 49444-1879 | 2018-11-02 |
| 1467977611 | Lindsey M Mcneil | Nurse Practitioner | 1212 E Sherman Blvd, Muskegon, MI 49444-1879 | 2017-08-09 |
| 1336573393 | Mercy Health Westshore Cardiology Services | Physician Assistant | 1212 E Sherman Blvd, Muskegon, MI 49444-1879 | 2013-08-27 |
| 1790048528 | Noah Patrick Thormeier | Internal Medicine | 1212 E Sherman Blvd, Muskegon, MI 49444 | 2012-06-18 |
| 1649554056 | Emilie D Klop | Dietitian, Registered | 1212 E Sherman Blvd, Muskegon, MI 49444-1879 | 2011-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073084349 | Cathy Forrest, Ma, LLP Plc | Psychologist | 255 Seminole Road, Suite-205, Muskegon, MI 49444 | 2018-12-16 |
| 1831687276 | Sarah J Weiden | Massage Therapist | 1040 E Sternberg Rd, Muskegon, MI 49444 | 2018-04-30 |
| 1184131500 | Hatem M Gelani Sr. | Dentist | 1725 E Sherman Blvd, Muskegon, MI 49444 | 2018-01-08 |
| 1497123673 | Rite Aid | Pharmacist | 2213 E Hile Road, Muskegon, MI 49444 | 2015-09-04 |
| 1689077075 | Rosa Carpenter-parker | Counselor | 445 East Sherman, Muskegon, MI 49444 | 2014-09-30 |
| 1417373036 | Smile Center Pllc | Dentist | 3500 Park Street, Smile Center Pllc, Muskegon, MI 49444 | 2014-03-06 |
| 1134460439 | Adam L Powell | Physical Medicine & Rehabilitation | 1675 E Mount Garfield Rd, Muskegon, MI 49444 | 2013-03-12 |
| 1972847135 | Kristen Haugh | Physical Therapist | 5251 Harvey St Ste 100, Norton Shores, MI 49444 | 2012-11-12 |
| 1912261694 | Brandon D Freel | Obstetrics & Gynecology | 6401 Prairie St Ste 2100, Norton Shores, MI 49444 | 2012-06-27 |
| 1437434487 | Amy Stegall | Pharmacist | 1171 E Sherman, Norton Shores, MI 49444 | 2011-10-20 |
| Find all providers in zip 49444 | ||||
| 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 |
|---|---|---|---|---|
| 1497123673 | Rite Aid | Pharmacist | 2213 E Hile Road, Muskegon, MI 49444 | 2015-09-04 |
| 1467735654 | Richard Thomas Poort | Pharmacist | 1771 Holton Rd., Muskegon, MI 49445 | 2011-09-23 |
| 1629350848 | Deirdre Kohley | Pharmacist | 2484 Winchester Dr, Muskegon, MI 49441-3238 | 2011-09-14 |
| 1225350622 | Barbara Marie Mattzela | Pharmacist | 1501 E Apple Ave Ste C, Muskegon, MI 49442-3762 | 2010-02-25 |
| 1932421823 | Jacalyn Nagel | Pharmacist | 1501 E Apple Ave, Muskegon, MI 49442-3762 | 2010-02-19 |
| 1598996027 | Patrick David Obrien | Pharmacist | 3370 Nina Ln, Muskegon, MI 49441-4200 | 2009-07-31 |
| 1578687562 | Laura M Horan | Pharmacist | 821 E Apple Ave, Muskegon, MI 49442-3737 | 2007-03-17 |
| 1013048784 | Kandance Jean Hartman | Pharmacist | 2635 Henry St, Muskegon, MI 49441 | 2007-03-07 |
| 1366519035 | Megan Jeanine Grelewicz | Pharmacist | 1391 E Sherman Blvd, Muskegon, MI 49444-1802 | 2006-11-29 |
| 1922101211 | Suzette Michele Adams | Pharmacist | 700 W. Norton Ave, Muskegon, MI 49441 | 2006-09-06 |
| Find all providers in MUSKEGON | ||||
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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.