MR. MARK JOHNSON (NPI# 1295175966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295175966 |
| Entity Type | Individual |
| Full Name | MR. MARK JOHNSON |
| Practice Address |
418 Opal Ln Hibbing MN 55746-3844 |
| Practice Telephone | 2182636205 |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2013-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 111573 | MN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427528546 | Mark Johnson | Urology | 278 Franklin Rd Ste 150, Brentwood, TN 37027-3265 | 2018-12-01 |
| 1437692787 | Mark Johnson | Pharmacist | 500 N Claude Lord Boulevard, Pottsville, PA 17901-3868 | 2016-11-18 |
| 1902277734 | Mark Johnson Sr. | Counselor | 5310 Eagle Creek Blvd, Shakopee, MN 55379-8617 | 2015-10-20 |
| 1275971988 | Mark A Johnson | Dentist | 1714 W Hunt Hwy Ste 100, Queen Creek, AZ 85143-5245 | 2013-06-05 |
| 1598009938 | Mark R Johnson | Pharmacist | 273 12th St Ne, Unit 313, Atlanta, GA 30309-3853 | 2012-11-26 |
| 1164778619 | Mark Anthony Johnson | Pharmacist | 3449 Rezanof Drive, Kodiak, AK 99615 | 2012-08-01 |
| 1881953578 | Mark Joseph Johnson | Anesthesiology | 2810 N Swan Rd Ste 1002810n, Tucson, AZ 85712-6305 | 2012-05-15 |
| 1811261662 | Mark Johnson | Physical Therapist | 3303 Sw Bond Ave Fl 1, Portland, OR 97239-4501 | 2012-02-25 |
| 1639470636 | Mark Johnson | Counselor | 4314 W Lovers Ln, Dallas, TX 75209-2804 | 2010-11-06 |
| 1164743449 | Mark Daniel Johnson | Acupuncturist | 19215 32nd Ave Ne, Lake Forest Park, WA 98155-2525 | 2010-06-21 |
| Street Address |
418 OPAL LN |
| City | HIBBING |
| State | MN |
| Zip Code | 55746-3844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922594753 | Brekke Lee Johnsrud | Dentist | 2020 1st Avenue, Hibbing, MN 55746 | 2018-07-04 |
| 1558751495 | Weston Mark Schmidt | Dental Therapist | 411 East Howard St., Jacobson Family Dentistry PC, Hibbing, MN 55746 | 2015-01-30 |
| 1467870485 | Angela Wivoda | Contractor | 302 East Howard Street, Suite 310, Hibbing, MN 55746 | 2014-04-07 |
| 1871897512 | Nicholas G Ongaro | Chiropractor | 4104 9th Ave W, Hibbing, MN 55746 | 2011-01-10 |
| 1689800153 | Kathleen M Delgreco | Social Worker | 3203 W. 3rd Ave, Hibbing, MN 55746 | 2009-06-10 |
| 1962666461 | Sereen Danielle Sharp | Internal Medicine | 3605 Mayfair Avenue, Hibbing, MN 55746 | 2008-07-14 |
| 1790999274 | Raymond N Sampson | Psychologist | 914 Minnesota St, Hibbing, MN 55746 | 2007-05-10 |
| 1598985517 | Renee Cook | Psychiatry & Neurology | 3203 W. 3rd Ave., Range Mental Health Center-perpich Building, Hibbing, MN 55746 | 2007-05-01 |
| 1841318599 | Nathan Pedersen | Dentist | 802 W 42nd St, Hibbing, MN 55746 | 2007-03-27 |
| 1558406355 | Michael John Quirk | Chiropractor | 1406 East 40th St, Hibbing, MN 55746 | 2007-02-20 |
| Find all providers in zip 55746 | ||||
| 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 |
|---|---|---|---|---|
| 1063851426 | William John Bonach | Pharmacist | 1101 E 37th St Ste 4, Hibbing, MN 55746-2972 | 2013-06-19 |
| 1326305467 | Leone Rae Altman | Pharmacist | 505 S Inner Dr, Hibbing, MN 55746-2665 | 2012-04-13 |
| 1205435211 | Brandon Held | Pharmacist | 12080 Highway 169 W, Hibbing, MN 55746-3035 | 2020-10-21 |
| 1235737727 | Kelly Pechous | Pharmacist | 12080 Highway 169 W, Hibbing, MN 55746-3035 | 2020-10-15 |
| 1881207504 | Christopher Brian Bisping | Pharmacist | 1130 E 37th St, Hibbing, MN 55746-2962 | 2020-08-24 |
| 1538721550 | Tiffany Linda Espe | Pharmacist | 3517 E Beltline, Hibbing, MN 55746-2337 | 2019-06-29 |
| 1730638727 | Christopher Clark | Pharmacist | 1130 E 37th St, Hibbing, MN 55746-2962 | 2016-10-02 |
| 1396198339 | Brendan Scott Salo | Pharmacist | 990 W 41st St, Hibbing, MN 55746-3045 | 2016-07-14 |
| 1477940443 | William Pagel | Pharmacist | 1101 E 37th St, Thrifty White Pharmacy, Hibbing, MN 55746-2971 | 2015-04-17 |
| 1487053971 | Jennifer Petroske | Pharmacist | 1130 E 37th St, Hibbing, MN 55746-2962 | 2014-08-20 |
| Find all providers in HIBBING | ||||
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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.