DR. DENETRA JOHNSON (NPI# 1750619847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750619847 |
| Entity Type | Individual |
| Full Name | DR. DENETRA JOHNSON |
| Credential | PHARMD |
| Practice Address |
6610 Tidwell Rd Houston TX 77016-4824 |
| Mailing Address |
16623 E Rippleridge Dr Houston TX 77053-5305 |
| Practice Telephone | 7136332230 |
| Mailing Telephone | 8324895195 |
| Enumeration Date | 2009-11-30 |
| Last Update Date | 2009-11-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 41837 | TX | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205207388 | Denetra Johnson | Nurse Practitioner | 3730 Carmia Dr Sw, Ste 110-130, Atlanta, GA 30331-6258 | 2015-10-14 |
| Street Address |
6610 TIDWELL RD |
| City | HOUSTON |
| State | TX |
| Zip Code | 77016-4824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861407819 | Walgreen Co | Pharmacy | 6610 Tidwell Rd, Houston, TX 77016-4824 | 2006-07-29 |
| 1881960896 | Kyle M Goldsmith | Pharmacist | 6610 Tidwell Rd, Houston, TX 77016-4824 | 2012-03-25 |
| 1750665030 | John Kyles | Pharmacist | 6610 Tidwell Rd, Houston, TX 77016-4824 | 2011-10-04 |
| 1871877357 | Michael Powell | Pharmacist | 6610 Tidwell Rd, Houston, TX 77016-4824 | 2011-10-03 |
| 1891099743 | Jessica Johnson | Pharmacist | 6610 Tidwell Rd, Houston, TX 77016-4824 | 2011-01-07 |
| 1902108319 | Ella Sue Crockett | Pharmacist | 6610 Tidwell Rd, Houston, TX 77016-4824 | 2010-11-18 |
| 1942539754 | Tanya She-von Leonard | Pharmacist | 6610 Tidwell Rd, Houston, TX 77016-4824 | 2009-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932741790 | Michelle Y Johnson | Technician | 6731 Leedale St., Houston, TX 77016 | 2019-10-14 |
| 1013568302 | Lynette Callier | Technician | 7410 Caddo, Houston, TX 77016 | 2019-09-27 |
| 1770132169 | Mary Collins | Technician | 7221 Boggess, Houston, TX 77016 | 2019-09-09 |
| 1417503467 | Superior Surgical Services, LLC | Physician Assistant | 5527 Yorkwood St, Houston, TX 77016 | 2019-08-15 |
| 1407336654 | Something Special Mental Health Care | Clinic/Center | 5318 Laura Koppe St, Houston, TX 77016 | 2018-08-17 |
| 1538648019 | Lois Hardy | Licensed Vocational Nurse | 7306 Caddo St., Houston, TX 77016 | 2018-08-07 |
| 1124520960 | Complete Plus Healthcare Inc | Clinic/Center | 6235 Laura Koppe Rd Ste B, Houston, TX 77016 | 2018-03-07 |
| 1790220481 | Premier Diagnostic Center | Point of Service | 10311 Homestead Road, Houston, TX 77016 | 2017-01-04 |
| 1902274178 | Established Transportation | Non-emergency Medical Transport (VAN) | 6314 Heath, Houston, TX 77016 | 2015-09-04 |
| 1780096412 | Launch Point Cdc Inc. | Preferred Provider Organization | 9723 Homestead, Houston, TX 77016 | 2014-05-29 |
| Find all providers in zip 77016 | ||||
| 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 |
|---|---|---|---|---|
| 1033710967 | Paul V Crawford | Pharmacist | 13 Thornhill Oaks Dr, Houston, TX 77015-2059 | 2020-11-06 |
| 1639770852 | Mchaji Celestaine | Pharmacist | Medvamc 2002 Holcombe Blvd, Outpatient Pharmacy, Houston, TX 77030 | 2020-11-04 |
| 1407457922 | Tam Minh Ha | Pharmacist | 2700 S Kirkwood, Houston, TX 77077 | 2020-11-02 |
| 1134729866 | Bilquis Omolola Otulana | Pharmacist | 13619 Teal Bluff Ln, Houston, TX 77077-1307 | 2020-10-30 |
| 1295335750 | Eskedar Dickie | Pharmacist | 3450 Cypress Creek Pkwy, Houston, TX 77068-3606 | 2020-10-26 |
| 1811596414 | Yuehhsun Lu | Pharmacist | 6918 Corporate Dr Ste B5, Houston, TX 77036-5140 | 2020-10-23 |
| 1770181596 | Charles Ihonre Aigberadion | Pharmacist | 13211 Jones Rd, Houston, TX 77070-4439 | 2020-10-14 |
| 1710585948 | June Wang | Pharmacist | 9180 Bellaire Blvd Ste A, Houston, TX 77036-4600 | 2020-10-09 |
| 1659978963 | Good Shepherd Pharmacy LLC | Pharmacist | 8303 Southwest Fwy Ste 825, Houston, TX 77074-1641 | 2020-10-08 |
| 1134726789 | Haroon Waseem | Pharmacist | 17218 Trace Glen Ln, Houston, TX 77083-7392 | 2020-10-07 |
| Find all providers in HOUSTON | ||||
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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.