RANDY LEE JOHNSON (NPI# 1508035189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508035189 |
| Entity Type | Individual |
| Full Name | RANDY LEE JOHNSON |
| Practice Address |
117 E Main St Dundee FL 33838-4219 |
| Practice Telephone | 8632232007 |
| Practice Fax Number | 8632231879 |
| Mailing Telephone | 8632232007 |
| Mailing Fax Number | 8632231879 |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2008-10-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 1312770 | FL | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053958736 | Randy Johnson | Technician | 3221 Gina Drive, Memphis, TN 38118 | 2019-12-02 |
| 1497041065 | Randy Lee Johnson | Contractor | 824 9th St N, Sartell, MN 56377-2248 | 2011-06-22 |
| 1871716225 | Randy Johnson | Dentist | 3053 Freedom Dr, Charlotte, NC 28208-3859 | 2007-04-11 |
| 1124180450 | Randy Robert Johnson | Chiropractor | 1706 East Tenth Street, Gauer Chiropractic Clinic, Glencoe, MN 55336 | 2006-12-14 |
| 1295843795 | Randy Roy Johnson | Chiropractor | 10600 South Ave, Chisago City, MN 55013-9577 | 2006-08-26 |
| 1417970971 | Randy Johnson | Specialist/Technologist | 5150 Farna Ave, Arcadia, CA 91006-5966 | 2006-07-25 |
| 1972581957 | Randy Gordon Johnson | Pharmacist | 34617 Se 56th Pl, Fall City, WA 98024-8806 | 2006-01-09 |
| 1659932580 | Randy W Johnson | Nurse Practitioner | 736 Broadway N, Fargo, ND 58102-4421 | 2019-06-21 |
| 1073787677 | Randy M Johnson | Physician Assistant | 2200 Whitney Avenue, Suite 360, Hamden, CT 06518-3694 | 2008-04-15 |
| 1629247317 | Randy Johnson | Prosthetic/Orthotic Supplier | 405 Parkway, Suite G, Greensboro, NC 27401-1308 | 2008-02-27 |
| Street Address |
117 E MAIN ST |
| City | DUNDEE |
| State | FL |
| Zip Code | 33838-4219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801417712 | Deandra Mahon | Student in an Organized Health Care Education/Training Program | 1523 Vista Del Lago Blvd, Dundee, FL 33838 | 2020-05-01 |
| 1417499542 | Cathleen Chicoine | Nurse Practitioner | 28149 Us 27, Dundee, FL 33838 | 2016-11-07 |
| 1083086656 | Education & Empowerment, Inc. | Day Training, Developmentally Disabled Services | 622 Dundee Road, Dundee, FL 33838 | 2015-10-22 |
| 1689842247 | Kevin Dwayne Cunningham | Pharmacist | 243 Us Highway 27 S, Dundee, FL 33838 | 2008-02-18 |
| 1124192612 | Nicanor S Baguio Jr. | General Practice | 28055 Us Highway 27 South, Dundee Medical Walk In Clinic, Dundee, FL 33838 | 2006-11-17 |
| 1710074497 | Dundee Medical Walk-in Clinic | General Practice | 28055 Highway 27 South, Dundee, FL 33838 | 2006-10-06 |
| 1871514174 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 243 Us Hwy 27 South, Dundee, FL 33838 | 2006-07-21 |
| 1700821121 | Mondello Family Clinic Pa | Clinic/Center | 1023 Sr 542 W, Dundee, FL 33838 | 2006-06-19 |
| 1679058515 | Central Florida Health Care Inc | Clinic/Center | 916 Hwy 542, Dundee, FL 33838 | 2018-09-26 |
| 1770603482 | Wanda W. J. Goldwire | Adult Companion | 207 Grace Ave, Dundee, FL 33838-0102 | 2007-03-29 |
| Find all providers in zip 33838 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962747154 | Progressive Independence, LLC | Durable Medical Equipment & Medical Supplies | 34w920 Duchesne Dr, Dundee, IL 60118-3125 | 2012-11-29 |
| 1912156175 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 100 Cabelas Blvd E, Dundee, MI 48131-9693 | 2008-09-12 |
| 1710057187 | State Line Medical, Inc | Durable Medical Equipment & Medical Supplies | 13693 Stowell Rd, Dundee, MI 48131-9735 | 2006-11-09 |
| 1871514174 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 243 Us Hwy 27 South, Dundee, FL 33838 | 2006-07-21 |
| 1831123603 | Kroger Co of Michigan | Durable Medical Equipment & Medical Supplies | 571 E Monroe St, Dundee, MI 48131-1309 | 2006-07-10 |
| 1679543367 | Mobility Express of Dundee | Durable Medical Equipment & Medical Supplies | 305 Center St, Dundee, FL 33838-4366 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225047 | Halo Florida Dme LLC | Durable Medical Equipment & Medical Supplies | 710 Pondella Rd Ste 4, North Fort Myers, FL 33903-5730 | 2020-11-05 |
| 1033710249 | Harmony Home Care Solutions LLC | Durable Medical Equipment & Medical Supplies | 6625 Miami Lakes Dr E Ste 319, Miami Lakes, FL 33014-2705 | 2020-11-04 |
| 1972104305 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 8684 Beulah Rd, Pensacola, FL 32526-5201 | 2020-11-03 |
| 1548861990 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 2135 Everglades Ln, The Villages, FL 32163-1037 | 2020-11-03 |
| 1588265961 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 555 Channelside Dr, Tampa, FL 33062 | 2020-11-03 |
| 1659972016 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 5140 County Line Rd, Lakeland, FL 33811-1706 | 2020-11-03 |
| 1891396248 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 205 Rivertown Shops Dr, Saint Johns, FL 32259-7476 | 2020-11-03 |
| 1326649781 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 930 North Miami Beach Blvd, North Miami Beach, FL 33162 | 2020-11-03 |
| 1265033591 | Acqualina Health Medical Solutions, Inc. | Durable Medical Equipment & Medical Supplies | 12955 Biscayne Blvd Ste 322, North Miami, FL 33181-2022 | 2020-11-03 |
| 1083215511 | Supplies Plus Fl Inc | Durable Medical Equipment & Medical Supplies | 223 Island Way Apt 5f, Clearwater Beach, FL 33767-2254 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on RANDY LEE 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.