WADE AARON JOHNSON (NPI# 1326668641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326668641 |
Entity Type | Individual |
Full Name | WADE AARON JOHNSON |
Practice Address |
551 S Illinois Ave Mason City IA 50401-4441 |
Practice Telephone | 6414247014 |
Mailing Telephone | 6414247014 |
Mailing Fax Number | 6414248012 |
Enumeration Date | 2020-04-17 |
Last Update Date | 2020-04-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
15728 | IA | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801142971 | Wade Lane Johnson | Psychiatry & Neurology | 104 Moodys Run, Williamsburg, VA 23185-6557 | 2012-07-26 |
1235530890 | Wade Johnson | Physical Medicine & Rehabilitation | 1025 Marsh St, Mankato, MN 56001-4752 | 2014-09-14 |
Street Address |
551 S ILLINOIS AVE |
City | MASON CITY |
State | IA |
Zip Code | 50401-4441 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649533324 | Hy Vee Inc | Pharmacy | 551 S Illinois Ave, Mason City, IA 50401-4441 | 2012-06-19 |
1861011603 | Margaret Casey | Pharmacist | 551 S Illinois Ave, Mason City, IA 50401-4497 | 2020-04-12 |
1760804017 | Jessica Pavlinec | Dietitian, Registered | 551 S Illinois Ave, Mason City, IA 50401-4441 | 2014-01-06 |
1336582295 | Amy Marie Kirchhoff | Dietitian, Registered | 551 S Illinois Ave, Mason City, IA 50401-4441 | 2013-04-10 |
1750623773 | Stephanie Ann Norris | Dietitian, Registered | 551 S Illinois Ave, Mason City, IA 50401-4441 | 2013-03-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912544123 | Handicap Village | Intermediate Care Facility, Mentally Retarded | 1140 Limestone St, Mason City, IA 50401 | 2019-12-06 |
1548829989 | Debra Lynn Perzynski | Counselor | 103 E State St Suite 301, Brick and Tile Building, Mason City, IA 50401 | 2019-06-10 |
1851858617 | Four Oaks Family and Children's Services | Psychiatric Residential Treatment Facility | 80 North Eisenhower Ave, Mason City, IA 50401 | 2019-02-27 |
1578055521 | Alex Jon Uhlenhopp | Optometrist | 422 S Pierce Ave Ste 1, Mason City, IA 50401 | 2018-06-05 |
1538672985 | Bonnie Jean Burnett | Hearing Instrument Specialist | 704 16th St. Ne, Mason City, IA 50401 | 2017-11-08 |
1639691009 | Jeremy Baker | Counselor | 320 N Eisenhower Avenue, Mason City, IA 50401 | 2017-07-07 |
1437689940 | Medi-dent, Inc. | Psychiatry & Neurology | 1050 15th St. S.w., Suite 2, Mason City, IA 50401 | 2017-06-18 |
1922485283 | Jamie Lynn Heard | Social Worker | 50 N. Eisenhower Ave., Mason City, IA 50401 | 2015-05-06 |
1558756999 | Tyler Borchardt | Specialist/Technologist | 640 South Indiana Avenue, Mason City, IA 50401 | 2015-04-02 |
1811339203 | Siddiq A. Khan | General Practice | 520 S. Pierce Ave. Suite 150, Mason City, IA 50401 | 2013-07-25 |
Find all providers in zip 50401 |
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 |
---|---|---|---|---|
1932502044 | Anna Schneider | Pharmacist | 520 S Pierce Ave, Suite 150, Mason City, IA 50401-2749 | 2014-10-02 |
1467755181 | Shana Brunsvold | Pharmacist | 1000 4th St Sw, Mason City, IA 50401-2800 | 2010-12-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356988109 | Erin Jensen | Pharmacist | 801 55th St, West Des Moines, IA 50266-6326 | 2019-11-27 |
1134548282 | Laurie Beth Allbaugh | Pharmacist | 227 Southbrooke Dr Apt 4, Waterloo, IA 50702-5826 | 2014-04-15 |
1932421286 | Michael J Hanlon | Pharmacist | 2803 East Kanesville Boulevard, Council Bluffs, IA 51534 | 2010-02-26 |
1679702344 | Meaghan Rogers | Pharmacist | 115 South Grand Avenue, S558, Iowa City, IA 52242-1112 | 2009-07-02 |
1598837494 | Heather Marcelle Rickertsen | Pharmacist | 1690 Elm St Ste 300, Dubuque, IA 52001-3679 | 2006-11-15 |
1003422429 | Kara Renee Eid | Pharmacist | 2639 Avenue L, Fort Madison, IA 52627-3840 | 2020-09-21 |
1366056160 | Brian Thoreson | Pharmacist | 3036 1st Ave S, Fort Dodge, IA 50501-2925 | 2020-08-31 |
1992313175 | Zachary Less | Pharmacist | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-07-14 |
1184241473 | Stacy Croy | Pharmacist | 200 Hawkins Dr, Cc 101 Gh, Iowa City, IA 52242 | 2020-07-02 |
1225655509 | Jacqueline Cicchese | Pharmacist | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-07-02 |
Find all providers with the same taxonomy |
City | MASON CITY |
Zip Code | 50401 |
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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.