DR. CHRISTOPHER DEREK JOHNSON (NPI# 1558747352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558747352 |
| Entity Type | Individual |
| Full Name | DR. CHRISTOPHER DEREK JOHNSON |
| Credential | PHARM.D. |
| Practice Address |
2555 N Dr Martin Luther King Dr Milwaukee WI 53212-2709 |
| Mailing Address |
W71n905 Harrison Ct Apt 204 Cedarburg WI 53012-3231 |
| Practice Telephone | 4142676011 |
| Mailing Telephone | 5038801914 |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2015-08-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
18114-40 | WI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558993022 | Christopher Brian Johnson | Physical Therapy Assistant | 4198 Ouray St, Colorado City, CO 81019 | 2020-02-12 |
| 1437619210 | Christopher Lee Johnson | Behavioral Analyst | 1947 Larkspur Apt 1007, San Antonio, TX 78213-4948 | 2019-03-20 |
| 1275097917 | Christopher F Johnson Jr. | Specialist/Technologist | 403 Greenbriar Dr Apt 214, Normal, IL 61761-6221 | 2019-01-28 |
| 1568936227 | Christopher Harrell Johnson | Licensed Vocational Nurse | 3001 Buddie St, Tyler, TX 75701-0605 | 2019-01-16 |
| 1164917332 | Christopher Rolf Johnson | Student in an Organized Health Care Education/Training Program | 444 S. San Vicente Blvd. Suite 603, Los Angeles, CA 90048-1804 | 2018-06-28 |
| 1407375488 | Christopher Johnson | Military Health Care Provider | 3170 Bebas Ln, San Diego, CA 92123-2046 | 2017-09-11 |
| 1861800542 | Christopher Johnson | Physical Therapist | 4215 Yanceyville Rd, Apt C, Browns Summit, NC 27214-9040 | 2014-07-26 |
| 1184035610 | Christopher Robert Johnson | Student in an Organized Health Care Education/Training Program | 37 Marcella St, Boston, MA 02119-1217 | 2014-05-19 |
| 1376849315 | Christopher Todd Johnson | Registered Nurse | 82073 190th St, Hayward, MN 56043-4081 | 2011-02-09 |
| 1952604886 | Christopher Johnson | Behavioral Analyst | 2709 Mustang Trl, Edmond, OK 73012-6674 | 2010-12-15 |
| Street Address |
2555 N DR MARTIN LUTHER KING DR |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53212-2709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235231085 | Mckinley Petty IIi | Family Medicine | 2555 N Dr Martin Luther King Dr, Milwaukee Health Services Inc, Milwaukee, WI 53212-2709 | 2006-09-02 |
| 1528483542 | Angelia Raychell Wilks-tate | Dietitian, Registered | 2555 N Dr Martin Luther King Dr, Milwaukee, WI 53212-2709 | 2014-02-27 |
| 1164853990 | Sara Doschadis Atteberry | Registered Nurse | 2555 N Dr Martin Luther King Dr, Milwaukee, WI 53212 | 2013-12-04 |
| 1043657505 | Richard Lightsey II | Dentist | 2555 N Dr Martin Luther King Dr, Milwaukee, WI 53212-2709 | 2013-05-23 |
| 1861626012 | Julie Joy Noel | Advanced Practice Midwife | 2555 N Dr Martin Luther King Dr, Milwaukee, WI 53212-2709 | 2009-05-02 |
| 1881892396 | Karen Mary Miller | Nutritionist | 2555 N Dr Martin Luther King Dr, Milwaukee Health Services Inc, Milwaukee, WI 53212-2709 | 2007-07-05 |
| 1316162217 | Cormac Kehoe | Pharmacist | 2555 N Dr Martin Luther King Dr, Pharmacy, Milwaukee, WI 53212-2709 | 2007-04-16 |
| 1518005818 | Milwaukee Health Services Inc | Clinic/Center | 2555 N Dr Martin Luther King Dr, Milwaukee, WI 53212-2709 | 2007-02-01 |
| 1861539421 | Carla Louise Wright | Physical Medicine & Rehabilitation | 2555 N Dr Martin Luther King Dr, Milwaukee Health Services Inc, Milwaukee, WI 53212-2709 | 2007-01-31 |
| 1104963784 | Michelle Natalie Dacosta | Dentist | 2555 N Dr Martin Luther King Dr, Milwaukee Health Services Inc, Milwaukee, WI 53212-2709 | 2007-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609481001 | Beth Leanna | Counselor | Benedict Center 1849 N Dr. Marin Luther King Dr., Suite 101, Milwaukee, WI 53212 | 2020-09-11 |
| 1326683749 | A.b.d.h. Counseling Services LLC | Clinic/Center | 518 E Concordia Avenue, Milwaukee, WI 53212 | 2019-11-08 |
| 1467095703 | Ifrah Hameed | Psychologist | 1849 N Doctor M.l.k. Jr Dr# 101, Milwaukee, WI 53212 | 2019-10-18 |
| 1386293330 | Rachel Mae Nelson Bagha | Student in an Organized Health Care Education/Training Program | 1849 N Doctor M.l.k. Jr Dr #101, Milwaukee, WI 53212 | 2019-09-11 |
| 1164085205 | Mary Sue Daase Bowen | Counselor | 2821 N 4th Street, Milwaukee, WI 53212 | 2019-04-15 |
| 1649733189 | Stacey King | Counselor | Rivershore Comprehensive Treatment Facility, 3703 N Richards St, Milwaukee Wi, Milwaukee, WI 53212 | 2019-04-11 |
| 1710447701 | Scott William Stauder | Student in an Organized Health Care Education/Training Program | 1121 E. North Ave., Milwaukee, WI 53212 | 2019-03-25 |
| 1821561168 | Lydia Ann Mendez | Counselor | 3703 N Richards St, Milwaukee, WI 53212 | 2019-01-09 |
| 1851863302 | Glen Victor Fleming | Counselor | 2821 North 4th Street Suite 210, Milwaukee, WI 53212 | 2018-12-21 |
| 1093285140 | Megan Marie Volp | Advanced Practice Midwife | 2555 N Doctor M.l.k. Jr Dr, Milwaukee, WI 53212 | 2018-12-03 |
| Find all providers in zip 53212 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871980193 | Alan R Rosenthal | Pharmacist | 6930 N Beech Tree Dr, Milwaukee, WI 53209 | 2015-04-24 |
| 1831586700 | Erika Aldag | Pharmacist | 235 E Pittsburgh Ave Apt 310, Milwaukee, WI 53204-4335 | 2015-04-18 |
| 1790383784 | Emily Harr | Pharmacist | 9200 N Green Bay Rd, Milwaukee, WI 53209-1104 | 2020-10-13 |
| 1689294274 | Jordan Williams | Pharmacist | 5000 W Chambers St, Milwaukee, WI 53210-1650 | 2020-04-23 |
| 1265052450 | Marwa Bakr | Pharmacist | 2700 S 60th St, Milwaukee, WI 53219-3151 | 2020-04-17 |
| 1003441361 | Belaynesh Dejene Feleke | Pharmacist | 5929 W Lisbon Ave, Milwaukee, WI 53210-2267 | 2020-03-06 |
| 1205461860 | Katie Robison | Pharmacist | 3860 S 27th St, Milwaukee, WI 53221-1307 | 2020-03-04 |
| 1316571896 | Jonathan D Krueger | Pharmacist | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2020-02-24 |
| 1619508694 | Jacob Balkum | Pharmacist | 1123 N Van Buren St, Milwaukee, WI 53202-3269 | 2020-01-29 |
| 1477049369 | Sabrina Haskell | Pharmacist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2018-07-03 |
| Find all providers in MILWAUKEE | ||||
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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.