JARED JOHNSON (NPI# 1295335073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295335073 |
| Entity Type | Individual |
| Full Name | JARED JOHNSON |
| Practice Address |
1009 Saint Patricks Dr Perry GA 31069-2144 |
| Mailing Address |
204 Crystal Dr Byron GA 31008-7321 |
| Practice Telephone | 4789872323 |
| Mailing Telephone | 7702987902 |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-10-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH028973 | GA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427534320 | Jared Dean Johnson | Social Worker | 146 Lakepointe Drive, Warner Robins, GA 31088 | 2018-07-13 |
| 1710011754 | Jared C Johnson | Dentist | 1706 Overland Ave, Burley, ID 83318-2436 | 2007-03-14 |
| 1992788178 | Jared Keith Johnson | Pharmacist | 765 E Glenn Ave, Auburn, AL 36830-5151 | 2005-11-22 |
| 1902428238 | Jared Joshua Johnson | Student in an Organized Health Care Education/Training Program | 1000 W Carson St, Torrance, CA 90502-2059 | 2020-05-08 |
| 1548880420 | Jared Johnson | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 394, Minneapolis, MN 55455 | 2020-04-21 |
| 1922561851 | Jared Michael Johnson | Case Manager/Care Coordinator | 602 David St, Corning, AR 72422-7268 | 2019-04-08 |
| 1528524139 | Jared Johnson | Orthopaedic Surgery | 1888 Antilley Rd Ste 200, Abilene, TX 79606-1312 | 2019-02-19 |
| 1104310663 | Jared Thornton Johnson | Physical Therapist | 13039 Worldgate Dr, Herndon, VA 20170-4374 | 2018-06-19 |
| 1750819868 | Jared Alan Johnson | Student in an Organized Health Care Education/Training Program | 540 E Canfield St, Detroit, MI 48201-1928 | 2017-06-02 |
| 1376992644 | Jared Johnson | Physical Therapist | 6661 Dixie Hwy Ste 8, Louisville, KY 40258-3950 | 2016-06-08 |
| Street Address |
1009 SAINT PATRICKS DR |
| City | PERRY |
| State | GA |
| Zip Code | 31069-2144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548287873 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1009 Saint Patricks Dr, Perry, GA 31069-2144 | 2006-07-16 |
| 1396345708 | Alison Willingham | Pharmacist | 1009 Saint Patricks Dr, Perry, GA 31069-2144 | 2020-10-27 |
| 1205918216 | Wal-mart Stores East, Lp | Technician/Technologist | 1009 Saint Patricks Dr, Perry, GA 31069-2144 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386114924 | Rebecca Lyn Parker | Pharmacist | 302 Walton Chase, Perry, GA 31069 | 2018-11-27 |
| 1437637568 | Joshua Thomas Guley | Dentist | 2161 Houston Lake Road Hwy 127, Perry, GA 31069 | 2018-07-31 |
| 1043755531 | Otha Everett | Counselor | 733-b Carroll Street, Perry, GA 31069 | 2016-12-20 |
| 1699226001 | Middle Georgia Primary Care | Nurse Practitioner | 1115 Morningside Drive, Perry, GA 31069 | 2016-10-20 |
| 1639535628 | Holly Lavender | Nurse Practitioner | 1016 Keith Dr, Perry, GA 31069 | 2016-01-07 |
| 1598049918 | Spencer D Shugart | Physical Therapist | 1202 Macon Rd, Perry, GA 31069 | 2011-10-04 |
| 1154638518 | Middle Georgia Anesthesiology, LLC | Nurse Anesthetist, Certified Registered | 1040 Morningside Drive, Perry, GA 31069 | 2010-09-07 |
| 1922203686 | Sarah Pearson Velasquez | Nurse Practitioner | 1024 Keith Drive, Perry, GA 31069 | 2007-06-20 |
| 1417008004 | Bruce Duwayne Sampson | Internal Medicine | 1019 Keith Drive, Suite A, Perry, GA 31069 | 2007-01-12 |
| 1104839125 | Harold Brian Gillis | Chiropractor | 1207 Main Street Suite C, Perry, GA 31069 | 2006-08-14 |
| Find all providers in zip 31069 | ||||
| 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 |
|---|---|---|---|---|
| 1598243164 | Jessica Ann Demey | Pharmacist | 621 N Main, Perry, MI 48872-9704 | 2018-08-05 |
| 1407383326 | Heather Russell | Pharmacist | 520 N Main, Perry, MI 48872-9703 | 2017-05-23 |
| 1073882361 | Jeffrey Scott Terry | Pharmacist | 328 6th, Perry, OK 73077-7020 | 2011-12-15 |
| 1922309715 | Stephen Pfost | Pharmacist | 2057 S Byron Butler Pkwy, Perry, FL 32348-5599 | 2010-11-09 |
| 1225346786 | Daniel J Kiser | Pharmacist | 4026 Roundtop Cir, Perry, GA 31069-7806 | 2010-09-18 |
| 1649593914 | Sue Ann Degroff | Pharmacist | 4755 Middle Reservation Rd, Perry, NY 14530-9509 | 2010-03-01 |
| 1447572722 | Lindsey Nicole Driggers | Pharmacist | 1809 S Byron Butler Pkwy, Perry, FL 32348-5507 | 2010-02-27 |
| 1669705851 | Beimnet Kassahun | Pharmacist | 1325 Washington St, Perry, GA 31069-2565 | 2009-09-07 |
| 1811177140 | David Allen Lewandowski | Pharmacist | 128 N Center St, Perry, NY 14530-9701 | 2007-11-03 |
| 1962604769 | William Boyce Taylor | Pharmacist | 12521 Hiddenvale Ct, Perry, MI 48872-9153 | 2007-06-04 |
| Find all providers in PERRY | ||||
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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.