MELANIE M JOHNSON (NPI# 1356891808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356891808 |
| Entity Type | Individual |
| Full Name | MELANIE M JOHNSON |
| Credential | PHARMD |
| Practice Address |
621 Eaglewood Dr Rexburg ID 83440-5253 |
| Practice Telephone | 2084032364 |
| Mailing Telephone | 2084032364 |
| Enumeration Date | 2016-10-08 |
| Last Update Date | 2016-10-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 4857624-1701 | UT | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | P7155 | ID | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912512328 | Melanie Johnson | Home Health Aide | 6637 Ambar Ave, Cincinnati, OH 45230-2822 | 2020-09-11 |
| 1508373788 | Melanie Laura Johnson | Social Worker | 614 Staffordshire Ln, Vestavia, AL 35226-3409 | 2018-01-09 |
| 1306223292 | Melanie Johnson | Social Worker | 4123 Geronimo Lake Dr, Houston, TX 77047-6737 | 2015-04-30 |
| 1659707081 | Melanie Johnson | Counselor | 71 Kilsyth Rd, 7, Boston, MA 02135-7826 | 2013-09-17 |
| 1154646834 | Melanie Ann Johnson | Counselor | 4101 Perimeter Center Dr. Ste. 250, Okc, OK 73112 | 2010-04-06 |
| 1154540797 | Melanie S Johnson | Acupuncturist | 12278 E Colonial Dr Ste 400, Orlando, FL 32826-4734 | 2007-04-24 |
| 1871574475 | Melanie Ann Johnson | Social Worker | 522 Belvedere Dr, Suite 104, Kokomo, IN 46901-5627 | 2005-11-10 |
| 1053938704 | Melanie Johnson | Physical Therapist | 3500 Gaston Ave, Dallas, TX 75246-2017 | 2020-06-29 |
| 1497396725 | Melanie M Johnson | Behavior Technician | 421 Fayetteville St Ste 1100, Raleigh, NC 27601-3000 | 2019-10-08 |
| 1952959512 | Melanie Johnson | Family Medicine | 2910 Center St, Deer Park, TX 77536-4943 | 2019-08-27 |
| Street Address |
621 EAGLEWOOD DR |
| City | REXBURG |
| State | ID |
| Zip Code | 83440-5253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235768490 | Henry's Fork Surgery Center Pllc | Clinic/Center | 23 Sawtelle Ave, Rexburg, ID 83440 | 2020-04-08 |
| 1952956906 | Shane Ellis Withers | Pharmacist | 164 E. Main, Rexburg, ID 83440 | 2019-08-06 |
| 1316392285 | Emma Anderson | Speech-Language Pathologist | 36 Professional Plaza Suite 110, Rexburg, ID 83440 | 2016-04-28 |
| 1851755524 | Sandra Frickey | Speech-Language Pathologist | 1087 Summers Drive, Premier Therapy Associates, Rexburg, ID 83440 | 2016-04-08 |
| 1275997215 | Kerry Denney | Counselor | 333 Walker Drive, Rexburg, ID 83440 | 2016-04-06 |
| 1467837583 | Wal-mart Stores, Inc. | Technician/Technologist | 303 E Moody Rd, Rexburg, ID 83440 | 2015-07-30 |
| 1649692609 | Tanabell Health Services, Inc. | Skilled Nursing Facility | 410 W 1st N, Rexburg, ID 83440 | 2014-01-10 |
| 1043652571 | Creed Simon Webster | Counselor | 30 S 2nd W, Rexburg, ID 83440 | 2013-07-25 |
| 1033461660 | James Cannon Allen Dds PC | Dentist | 106 E 1st North, Rexburg, ID 83440 | 2012-10-05 |
| 1417217316 | Shelby Dee Woolstenhulme | Speech-Language Pathologist | 450 E. Main Street, Rexburg, ID 83440 | 2012-05-24 |
| Find all providers in zip 83440 | ||||
| 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 |
|---|---|---|---|---|
| 1952956906 | Shane Ellis Withers | Pharmacist | 164 E. Main, Rexburg, ID 83440 | 2019-08-06 |
| 1760923635 | Shawn Andreasen | Pharmacist | Byu Idaho Student Health Center 179 Ctr, Rexburg, ID 83460-0001 | 2017-03-13 |
| 1740566876 | Brandi E Slachter | Pharmacist | 164 E Main Street, Rexburg, ID 83440 | 2011-11-03 |
| 1639455371 | Emily L Stirling | Pharmacist | 262 E 2nd N, Rexburg, ID 83440-1626 | 2011-10-26 |
| 1245456359 | Scott J Webster | Pharmacist | 530 N 2nd E, Rexburg, ID 83440-3566 | 2007-04-17 |
| 1376192674 | David Howard Anderson | Pharmacist | 450 E Main St, Rexburg, ID 83440-2048 | 2019-09-09 |
| 1790278760 | Allen Terry Miller | Pharmacist | 450 E Main St, Rexburg, ID 83440-2048 | 2018-06-13 |
| 1831682194 | Dorsie Thomas Sullenger | Pharmacist | 450 E Main St, Rexburg, ID 83440-2048 | 2018-06-12 |
| 1982055620 | Jeremy Davis | Pharmacist | 164 E Main St, Rexburg, ID 83440-1912 | 2016-06-23 |
| 1649646878 | Jeffrey Dahlke | Pharmacist | 530 N 2nd E, Rexburg, ID 83440-3566 | 2015-08-11 |
| Find all providers in REXBURG | ||||
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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.