DR. BRANDI SUE JOHNSON (NPI# 1356948269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356948269 |
| Entity Type | Individual |
| Full Name | DR. BRANDI SUE JOHNSON |
| Other Name | DR. BRANDI SUE MCKEAN |
| Credential | PHARMD |
| Practice Address |
10105 Lima Rd Fort Wayne IN 46818-8657 |
| Practice Telephone | 2604906522 |
| Practice Fax Number | 2604906524 |
| Mailing Telephone | 2604906522 |
| Mailing Fax Number | 2604906524 |
| Enumeration Date | 2020-10-04 |
| Last Update Date | 2020-10-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 26022482A | IN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700329141 | Brandi Johnson | Case Manager/Care Coordinator | 11200 W Gilbert Ave Unit C, Wauwatosa, WI 53226-2257 | 2016-12-01 |
| 1144697269 | Brandi Johnson | Counselor | 145 Saint Rd, Richlands, NC 28574-5368 | 2015-08-24 |
| 1568890192 | Brandi Johnson | Pharmacist | 2107 Greenway Preserve Ln Apt 302, Tampa, FL 33619-5171 | 2013-10-16 |
| 1740535251 | Brandi Lachell Johnson | Developmental Therapist | 4830 Tippit Trl, Fayetteville, NC 28306-3915 | 2012-07-20 |
| 1346545480 | Brandi Sue Johnson | Case Manager/Care Coordinator | 318 East Poplar, Piggott, AR 72454 | 2011-01-21 |
| 1700187663 | Brandi Jo Johnson | Counselor | 2316 N Interstate Dr, Norman, OK 73072-2942 | 2010-11-09 |
| 1922299700 | Brandi Lynn Johnson | Optometrist | 4444 S. Harvard Ave, Suite 300, Tulsa, OK 74135-2611 | 2007-08-06 |
| 1093326738 | Brandi Cierra Johnson | Pharmacist | 1880 Watson Blvd, Warner Robins, GA 31093-3612 | 2020-08-15 |
| 1063051977 | Brandi Lauren Johnson | Behavior Technician | 3350 Shelby St, Ontario, CA 91764-4882 | 2019-12-26 |
| 1053876417 | Brandi Johnson | Licensed Practical Nurse | 645 Rodi Rd, Pittsburgh, PA 15235-4564 | 2019-02-09 |
| Street Address |
10105 LIMA RD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46818-8657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801072251 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 10105 Lima Rd, Fort Wayne, IN 46818-8657 | 2008-01-16 |
| 1215534201 | Lynn Beckett | Pharmacist | 10105 Lima Rd, Fort Wayne, IN 46818-8657 | 2020-10-03 |
| 1881033975 | Nolan Jacob Mcafee | Pharmacist | 10105 Lima Rd, Fort Wayne, IN 46818-8657 | 2013-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710464938 | Heather Smith | Day Training/Habilitation Specialist | 9434 Lima Road, Suite C, Fort Wayne, IN 46818 | 2018-07-20 |
| 1184146748 | Danielle Macias | Speech-Language Pathologist | 4935 Hillegas Road, Suite 200, Fort Wayne, IN 46818 | 2017-07-14 |
| 1801326533 | Kimberly M Kindt | Optometrist | 9426 Lima Rd Ste C, Fort Wayne, IN 46818 | 2017-06-15 |
| 1578983359 | Sarah Buzzard | Occupational Therapy Assistant | 9426 Lima Road, A, Fort Wayne, IN 46818 | 2014-04-21 |
| 1306196704 | Peter Yang Gaw Go | Occupational Therapist | 3406 Bluefield Place, Fort Wayne, IN 46818 | 2012-09-12 |
| 1043593536 | Carol Lynn Steinbach | Massage Therapist | 12101 Hand Rd., Fort Wayne, IN 46818 | 2011-09-21 |
| 1295058071 | Summit Nutrition Services, LLC | Dietitian, Registered | 3027 Mariposa Place, Fort Wayne, IN 46818 | 2010-03-08 |
| 1184871899 | The Arc of Northeast Indiana, Inc | Intermediate Care Facility, Mentally Retarded | 9104 Strathmore Lane, Fort Wayne, IN 46818 | 2008-08-25 |
| 1285851121 | Angela Coleman | Dentist | 10505 Lima Road, Fort Wayne, IN 46818 | 2007-04-20 |
| 1942335534 | Angela S King | Dentist | 9019 Lima Road, Fort Wayne, IN 46818 | 2007-02-22 |
| Find all providers in zip 46818 | ||||
| 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 |
|---|---|---|---|---|
| 1295347102 | Austin Hartzog | Pharmacist | 5110 Value Drive, Fort Wayne, IN 46808 | 2020-08-21 |
| 1528677622 | Leslie Renee Siegel | Pharmacist | 11109 Parkview Plaza Dr # 1, Fort Wayne, IN 46845-1701 | 2020-07-24 |
| 1962048140 | Andrew Quang Tran | Pharmacist | 6202 Saint Joe Center Rd, Fort Wayne, IN 46835-2506 | 2019-11-21 |
| 1467005991 | Nicholas Selby | Pharmacist | 6220 Saint Joe Center Rd, Fort Wayne, IN 46835-2506 | 2019-07-23 |
| 1215427042 | Jerry Eugene Falls | Pharmacist | 9817 Chapmans Blvd, Fort Wayne, IN 46835-9194 | 2018-05-17 |
| 1871082412 | Tara K Jellison | Pharmacist | 11109 Parkview Plaza Drive -- Attn Pharmacy, Fort Wayne, IN 46845 | 2018-05-09 |
| 1063900611 | Juliette Peters | Pharmacist | 1900 Carew St Ste 4, Fort Wayne, IN 46805-4765 | 2018-04-30 |
| 1639626211 | Logan Schwerer | Pharmacist | 923 Northcrest Business Center 6d, Fort Wayne, IN 46805 | 2016-09-01 |
| 1790238350 | Karleen Goodwin | Pharmacist | 3964 New Vision Dr, Fort Wayne, IN 46845-1712 | 2016-08-01 |
| 1699131300 | Brent Alan Losier | Pharmacist | 3537 N Anthony Blvd, Suite A, Fort Wayne, IN 46805-1423 | 2016-01-11 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46818 |
Please comment or provide details below to improve the information on DR. BRANDI SUE JOHNSON.
| 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.