KELLEY RAY JOHNSON (NPI# 1407173636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407173636 |
| Entity Type | Individual |
| Full Name | KELLEY RAY JOHNSON |
| Credential | R.PH. |
| Practice Address |
429 E Main St Ingles Pharmacy #253 Liberty SC 29657-1574 |
| Practice Telephone | 8648439326 |
| Practice Fax Number | 8648439352 |
| Mailing Telephone | 8648439326 |
| Mailing Fax Number | 8648439352 |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2011-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 9410 | SC | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336320555 | Kelley Nicole Johnson | Social Worker | 4455 S Pecos Rd Ste C, Las Vegas, NV 89121-5029 | 2007-11-15 |
| 1639296759 | Kelley Lynn Johnson | Counselor | 155 Se 1 Ave, Great Bend, KS 67530-9696 | 2007-03-23 |
| 1871105403 | Kelley Johnson | Pharmacist | 2014 S Broad St, Philadelphia, PA 19145-2305 | 2020-08-17 |
| 1629505813 | Kelley Holt Johnson | Nurse Practitioner | 5335 Yadkin Rd, Fayetteville, NC 28303-3254 | 2017-05-18 |
| 1891107264 | Kelley Johnson | Counselor | 407 Cincinnati St, Delhi, LA 71232-3007 | 2014-05-20 |
| 1912332891 | Kelley E Johnson | Nurse Practitioner | 5855 Bremo Rd, Suite 102, Richmond, VA 23226-1930 | 2013-09-10 |
| 1942540745 | Kelley Erin Johnson | Nurse Practitioner | 255 Spencer Rd Ste 201, Saint Peters, MO 63376-2576 | 2013-02-15 |
| 1447506233 | Kelley Johnson | Community Health Worker | 1856 Thompson Bridge Rd, Gainesville, GA 30501-1663 | 2012-07-30 |
| 1699853887 | Kelley Purvis Johnson | Dentist | 1454 Madison Ave W, Immokalee, FL 34142-2200 | 2006-11-02 |
| 1487674586 | Kelley Jean Johnson | Pharmacist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2006-07-20 |
| Street Address |
429 E MAIN ST INGLES PHARMACY #253 |
| City | LIBERTY |
| State | SC |
| Zip Code | 29657-1574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871909929 | Cathy Alvarez Murdaugh | Pharmacist | 429 E Main St, Liberty, SC 29657-1574 | 2014-07-09 |
| 1700212768 | Michael Nanni | Pharmacist | 429 E Main St, Liberty, SC 29657-1574 | 2013-09-23 |
| 1205127602 | Thomas Walter Waddell | Pharmacist | 429 E Main St, Liberty, SC 29657-1574 | 2011-04-20 |
| 1659386506 | Ingles Markets Inc | Pharmacy | 429 E Main St, Liberty, SC 29657-1574 | 2006-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508233206 | Healing Grace Childbirth Services, LLC | Doula | 306 Burgess Rd, Liberty, SC 29657 | 2015-08-28 |
| 1124428016 | Mustang Medicine Works, LLC | Counselor | 5642 Moorefield Memorial Hwy., Liberty, SC 29657 | 2014-08-27 |
| 1336499706 | Waiyung Florence Ho | Pharmacist | 305 W.main Street, Liberty, SC 29657 | 2012-09-13 |
| 1679822639 | Jennifer Andrews Letourneau | Pharmacist | 305 W.main St, Liberty, SC 29657 | 2012-09-06 |
| 1912256025 | Freddie Honchar | Pharmacist | 429 East Main Street, Liberty, SC 29657 | 2012-09-05 |
| 1720096704 | Emerson Wiggins Rabon Jr. | Dentist | 1074 Anderson Dr, Liberty, SC 29657 | 2006-08-04 |
| 1811476013 | Kathryn Juanita Morrow | Nurse Practitioner | 300 W Front St, Liberty, SC 29657 | 2018-08-08 |
| 1184680134 | James L Wilson | Dentist | 207 W Front St, Liberty, SC 29657-1009 | 2006-04-26 |
| 1154605624 | Bright Smile Center - Liberty, Pa | Dentist | 207 W Front St, Liberty, SC 29657-1009 | 2011-10-03 |
| 1932376035 | Liberty Dental Care, Inc. | Clinic/Center | 207 W Front St, Liberty, SC 29657-1009 | 2008-05-08 |
| Find all providers in zip 29657 | ||||
| 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 |
|---|---|---|---|---|
| 1508401050 | Russell Yount | Pharmacist | 1033 Longfellow St, Liberty, MO 64068-1479 | 2019-11-07 |
| 1861985624 | Regina Branagin | Pharmacist | 10 E Main Suite A, Liberty, IN 47353 | 2018-06-07 |
| 1336499706 | Waiyung Florence Ho | Pharmacist | 305 W.main Street, Liberty, SC 29657 | 2012-09-13 |
| 1679822639 | Jennifer Andrews Letourneau | Pharmacist | 305 W.main St, Liberty, SC 29657 | 2012-09-06 |
| 1912256025 | Freddie Honchar | Pharmacist | 429 East Main Street, Liberty, SC 29657 | 2012-09-05 |
| 1245514900 | Jennifer Shugars | Pharmacist | 1457 S Wallace Wilkinson Blvd, Liberty, KY 42539-3361 | 2011-09-29 |
| 1407142060 | Abhishek Patel | Pharmacist | 1987 State Route 52 Ste 3, Liberty, NY 12754-8317 | 2011-06-22 |
| 1013239383 | Joshua Leighr | Pharmacist | 2001 W Kansas St, Liberty, MO 64068-1961 | 2010-02-26 |
| 1114249828 | Kelly Mary Mcrell | Pharmacist | 1987 Route 52 Ste 3, Liberty, NY 12754-8317 | 2010-02-22 |
| 1215259023 | Lisa Ann Baumander | Pharmacist | 195 Muhlig Rd, Liberty, NY 12754-2527 | 2010-02-20 |
| Find all providers in LIBERTY | ||||
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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.