JAY KIMBERLY JOHNSON (NPI# 1457952913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457952913 |
| Entity Type | Individual |
| Full Name | JAY KIMBERLY JOHNSON |
| Credential | RPH |
| Practice Address |
221 W Parrish Ln Centerville UT 84014-1829 |
| Mailing Address |
530 W 1650 N Centerville UT 84014-3038 |
| Practice Telephone | 8012946168 |
| Practice Fax Number | 8012946171 |
| Mailing Telephone | 8018088522 |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2020-11-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 170223-1701 | UT | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265626006 | Jay Thomas Johnson | Emergency Medicine | 642 S 2nd St, Apt 1003, Louisville, KY 40202-2433 | 2007-09-05 |
| 1457570319 | Jay A Johnson | Dentist | 3220 North Bronco St, Suite 102, Las Vegas, NV 89108-4863 | 2007-04-25 |
| 1104970052 | Jay D. Johnson | Optometrist | 1120 Rambling Oaks Drive, Norman, OK 73072 | 2007-01-22 |
| 1851302210 | Jay B Johnson | Dentist | 7520 Bierstadt Hts, Suite 125, Peyton, CO 80831-6174 | 2006-08-11 |
| 1043224264 | Jay Kevin Johnson | Psychiatry & Neurology | 7134 S Yale Ave Ste 450, Tulsa, OK 74136-6380 | 2006-07-27 |
| 1053939652 | Jay Johnson | Behavior Technician | 4952 Warner Ave Ste 300, Huntington Beach, CA 92649-5506 | 2020-07-09 |
| 1205251709 | Jay Johnson | Registered Nurse | 6400 Uptown Blvd Ne, Ste 360w, Albuquerque, NM 87110-4204 | 2014-02-20 |
| 1679760219 | Jay W Johnson | Chiropractor | 1208 Washington Ave, Detroit Lakes, MN 56501-3906 | 2007-09-27 |
| 1932308418 | Jay K Johnson | Physician Assistant | 200 1st St Sw, Rochester, MN 55905-0001 | 2007-07-13 |
| 1083837116 | Jay Johnson | Physical Therapist | 14301 S Golden Oak Dr, Homer Glen, IL 60491-9696 | 2007-04-10 |
| Street Address |
221 W PARRISH LN |
| City | CENTERVILLE |
| State | UT |
| Zip Code | 84014-1829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447459920 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 221 W Parrish Ln, Centerville, UT 84014-1829 | 2007-07-13 |
| 1770184194 | Derek Daniel Garn | Pharmacist | 221 W Parrish Ln, Centerville, UT 84014-1829 | 2020-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346879160 | Nanette F Reid | Physical Therapist | 103 West 1450 North, Centerville, UT 84014 | 2020-04-03 |
| 1124557541 | Julie Blundell | Social Worker | 1634 Lewis and Clark Dr, Centerville, UT 84014 | 2017-06-08 |
| 1588843395 | Lorant Steve Bodo | Assisted Living Facility | 463 West Rawlins Circle, Centerville, UT 84014 | 2007-10-29 |
| 1659572949 | Armando Wayne Slack | Registered Nurse | 190 S Main St, Centerville, UT 84014 | 2007-05-31 |
| 1467588004 | Pitt Family Dental | Dentist | 281 South Main, Centerville, UT 84014 | 2007-02-26 |
| 1841346467 | Lds Family Services | Specialist | 94a East Pages Lane, Centerville, UT 84014 | 2007-01-26 |
| 1275690489 | Do-it for You | Chore Provider | 291 E Casa Loma Drive, Centerville, UT 84014 | 2007-01-03 |
| 1558455527 | Brian D Rigby | Dentist | 44 East 100 South, Suite 100, Centerville, UT 84014 | 2006-10-03 |
| 1588756407 | Gary A Lawson | Dentist | 1080 South 400 East, Centerville, UT 84014 | 2006-09-28 |
| 1811526353 | Reid Physical Therapy | Physical Therapist | 103 West 1450 North, Centerville, UT 84014 | 2020-04-06 |
| Find all providers in zip 84014 | ||||
| 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 |
|---|---|---|---|---|
| 1457952459 | Deanna Rae Moultrie | Pharmacist | 1268 N 225 W, Centerville, UT 84014-1104 | 2020-11-05 |
| 1124447636 | Thomas Mowbray | Pharmacist | 9352 Lebanon Pike, Centerville, OH 45458-3843 | 2014-04-11 |
| 1053651166 | Amy Spencer | Pharmacist | 609 N. 18th Street, Centerville, IA 52544 | 2013-02-26 |
| 1306123856 | Robert Diercks | Pharmacist | 207 Sanderson Dr, Centerville, OH 45459-1908 | 2011-11-11 |
| 1104113489 | Scott David Larsen | Pharmacist | 200 North Marketplace Drive, Centerville, UT 84025 | 2011-07-07 |
| 1730487216 | Hanh Pham | Pharmacist | 2900 Watson Blvd, Centerville, GA 31028-1771 | 2011-03-07 |
| 1861797979 | Loretta Lynne Wheeless | Pharmacist | 1797 Highway 100, Centerville, TN 37033-1063 | 2011-01-20 |
| 1003059163 | Brenda H Corbett | Pharmacist | 898 S Main St, Centerville, OH 45458-3439 | 2009-04-19 |
| 1538320692 | Cindy L Baker | Pharmacist | 650 Highway 100, Centerville, TN 37033-1214 | 2008-06-21 |
| 1770701450 | Douglas E Rechis | Pharmacist | 827 Sunrise Cir, Centerville, UT 84014-2576 | 2007-04-20 |
| Find all providers in CENTERVILLE | ||||
| City | CENTERVILLE |
| Zip Code | 84014 |
Please comment or provide details below to improve the information on JAY KIMBERLY 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.