DR. KYLE JOHNSON (NPI# 1366042855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366042855 |
| Entity Type | Individual |
| Full Name | DR. KYLE JOHNSON |
| Credential | PHARMD |
| Practice Address |
161 N Walmart Dr Harrison AR 72601-1960 |
| Practice Telephone | 8707412327 |
| Practice Fax Number | 8707414115 |
| Mailing Telephone | 8707412327 |
| Mailing Fax Number | 8707414115 |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2020-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PD09897 | AR | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | NABP | 126405 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235690066 | Kyle Johnson | Case Manager/Care Coordinator | 1809 Brighton Ave, Oklahoma City, OK 73120-1111 | 2019-03-26 |
| 1548720816 | Kyle Patrick Johnson | Physician Assistant | 2955 Clay St Apt 1, San Francisco, CA 94115-1766 | 2019-03-22 |
| 1518492784 | Kyle Ann Johnson | Counselor | 25 S Ewing St Ste 511, Helena, MT 59601-5732 | 2017-04-25 |
| 1801320577 | Kyle Johnson | Pharmacist | 2198 6th Ave, Cadillac, MI 49601-8896 | 2017-04-19 |
| 1588014021 | Kyle Johnson | Dental Hygienist | 1109 S Park St Ste 504, Carrollton, GA 30117-4449 | 2016-06-15 |
| 1730307570 | Kyle E. Johnson | Psychiatry & Neurology | 515 Enterprise Dr, Suite 300, Lowell, AR 72745-8975 | 2007-04-24 |
| 1699785410 | Kyle Dale Johnson | Optometrist | 1104 E Ohio St, Clinton, MO 64735-2458 | 2006-08-08 |
| 1083226559 | Kyle Johnson | Behavior Technician | 225 Cedar Hill St Ste 200, Marlborough, MA 01752-5900 | 2020-08-17 |
| 1477162071 | Kyle Douglas Johnson | Dentist | 5800 Coit Rd Ste 700, Plano, TX 75023-5946 | 2020-07-29 |
| 1013545391 | Kyle W Johnson | Student in an Organized Health Care Education/Training Program | 2451 University Hospital Dr Rm 714, Mobile, AL 36617-2300 | 2020-03-31 |
| Street Address |
161 N WALMART DR |
| City | HARRISON |
| State | AR |
| Zip Code | 72601-1960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609893098 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 161 N Walmart Dr, Harrison, AR 72601-1960 | 2006-07-16 |
| 1447851100 | William Jeff Ryan | Pharmacist | 161 N Walmart Dr, Harrison, AR 72601-1960 | 2020-11-07 |
| 1548861370 | Carla Willis | Pharmacist | 161 N Walmart Dr, Harrison, AR 72601-1960 | 2020-11-06 |
| 1538247945 | Walmart Inc. | Technician/Technologist | 161 N Walmart Dr, Harrison, AR 72601 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184280364 | Linda Marie Balcerak | Physical Therapy Assistant | 400 Hwy 43 East, Harrison, AR 72601 | 2019-05-14 |
| 1750847315 | Boston Mountain Rural Health Center Inc. | Clinic/Center | 1002 North Spring St., Harrison, AR 72601 | 2019-02-19 |
| 1154808236 | Carrie Lynn Miller | Midwife | 5977 Sulphur. Mt. Rd, Harrison, AR 72601 | 2018-07-23 |
| 1255833778 | Julie Foster, Speech Language Pathologist, Inc. | Speech-Language Pathologist | 1898 Foley Rd, Harrison, AR 72601 | 2018-02-28 |
| 1386163582 | Reagan Brittany Kenney | Case Manager/Care Coordinator | 4537 Meadow Wood Lane, Harrison, AR 72601 | 2017-09-19 |
| 1306394465 | Rebecca Jane Mcanulty | Nurse Practitioner | 702 N. Springs Street, Harrison, AR 72601 | 2016-09-19 |
| 1194174763 | Jessalyn Foy | Case Manager/Care Coordinator | 413 N Rowland St, Harrison, AR 72601 | 2016-06-06 |
| 1689022311 | Eva Laynette Norris | Case Manager/Care Coordinator | 114 E. Crandall, Harrison, AR 72601 | 2016-06-03 |
| 1760830491 | Jana Daniels | Case Manager/Care Coordinator | 9378a Hwy 7 North, Harrison, AR 72601 | 2016-06-03 |
| 1376992016 | Laken Nichole Curtis | Case Manager/Care Coordinator | 5985 James Phifer Ln, Harrison, AR 72601 | 2016-06-03 |
| Find all providers in zip 72601 | ||||
| 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 |
|---|---|---|---|---|
| 1861924342 | Mary Fowler | Pharmacist | 182 N 2nd St # 604, Harrison, MI 48625-2545 | 2017-04-03 |
| 1144766205 | Christine Hanna | Pharmacist | 1100 Frank E Rodgers Blvd S, Apt 318, Harrison, NJ 07029-2419 | 2017-01-13 |
| 1144779984 | Michael Gene Mikolaizyk | Pharmacist | 192 Hillcrest St, Harrison, MI 48625-9275 | 2016-09-21 |
| 1437532892 | Kiley Smith | Pharmacist | 1713 Bellefonte Rd, Harrison, AR 72601-7004 | 2015-07-02 |
| 1225391196 | Jenna Hamlett | Pharmacist | 10754 Carolina Pines Dr, Harrison, OH 45030-4933 | 2012-06-16 |
| 1245526862 | Sunita Abkari | Pharmacist | 701 Frank E Rodgers Blvd. N, Ste 7, Harrison, NJ 07029 | 2011-06-22 |
| 1861790180 | Cheri Alaine Richter | Pharmacist | 161 W Beech St, Harrison, MI 48625-2504 | 2011-03-10 |
| 1619271145 | Diana Aminov | Pharmacist | 270 Halstead Ave, Harrison, NY 10528-3613 | 2010-12-23 |
| 1336453034 | Teena Payyanattu | Pharmacist | 432 Bergen St, Harrison, NJ 07029-2291 | 2010-08-05 |
| 1801021837 | Khalid M Bader | Pharmacist | 701 Frank E Rodgers Blvd N, Harrison, NJ 07029-2627 | 2009-05-20 |
| Find all providers in HARRISON | ||||
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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.