DR. BRIAN LEE JOHNSON (NPI# 1831355650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831355650 |
| Entity Type | Individual |
| Full Name | DR. BRIAN LEE JOHNSON |
| Credential | PHARMD |
| Practice Address |
4601 Dale Rd Modesto CA 95356-9718 |
| Mailing Address |
3402 Dewar Ln Turlock CA 95382-9670 |
| Practice Telephone | 2097356333 |
| Mailing Telephone | 2096674760 |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2008-07-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
56142 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871617 | Brian Anders Johnson | Student in an Organized Health Care Education/Training Program | 720 S River Rd Ste B105, St George, UT 84790-5704 | 2020-11-05 |
| 1669002630 | Brian A Johnson | Counselor | 16978 W Santiago Cir, Hauser, ID 83854-8153 | 2020-01-18 |
| 1770063687 | Brian Johnson | Optometrist | 1200 W Godfrey Avenue, Philadelphia, PA 19141-3323 | 2018-08-20 |
| 1467979013 | Brian R Johnson Jr. | Massage Therapist | 275 Sw 160th St Ste 201, Burien, WA 98166-3003 | 2017-08-24 |
| 1851817316 | Brian Johnson | Driver | 2919 Providence Creek Rd, North Chesterfield, VA 23236-5267 | 2017-08-16 |
| 1033630330 | Brian Bradley Johnson | Pediatrics | Children's Hospital Outpatient Center, 14 Medical Park, Ste 400, Columbia, SC 29203 | 2017-06-28 |
| 1356870158 | Brian Johnson | Private Vehicle | 52 Saint Pauls Rd, Warsaw, VA 22572-4436 | 2017-06-06 |
| 1538601554 | Brian David Johnson | Occupational Therapist | 7370 Cabot Ct Ste 101, Melbourne, FL 32940-8263 | 2016-11-08 |
| 1548630122 | Brian Johnson | Technician, Cardiology | 1163 Bridge Mill Ave, Canton, GA 30114-7713 | 2015-09-25 |
| 1093111817 | Brian Johnson | Home Health | 9446 Crockett Pass, Hamilton, OH 45011-9054 | 2014-11-05 |
| Street Address |
4601 DALE RD |
| City | MODESTO |
| State | CA |
| Zip Code | 95356-9718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912998311 | Stephen Matthew Willey | Physical Therapist | 4601 Dale Rd, Modesto, CA 95356 | 2005-11-03 |
| 1760098263 | Paola Ramirez | Behavior Technician | 4601 Dale Rd, Modesto, CA 95356-9718 | 2020-09-20 |
| 1538772678 | Roy Choi | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2020-08-28 |
| 1730797499 | Donna Cruz | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2020-07-20 |
| 1538777487 | Kyle Wesley Hopson | Physical Therapist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2020-07-16 |
| 1376176313 | Su Jin Yeo | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2020-02-18 |
| 1972135580 | Tran Huyen Smernes | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2020-02-11 |
| 1740827534 | Evelyn Kwong | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2019-11-29 |
| 1467000463 | Oanh Hoang Nguyen Phan | Nurse Practitioner | 4601 Dale Rd, Modesto, CA 95356-9718 | 2019-09-03 |
| 1598311227 | Janine Grace Lastimosa Tennant | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2019-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649809021 | Amelia E Delgadillo | Licensed Vocational Nurse | 501 Triangle Rd, Modesto, CA 95356 | 2020-04-07 |
| 1689220279 | Meagan Veneman | Physical Medicine & Rehabilitation | 125 Hogue Rd, Modesto, CA 95356 | 2019-08-10 |
| 1497131213 | Hermes Guardian Transport | Non-emergency Medical Transport (VAN) | 4221 Erin Way, Modesto, CA 95356 | 2015-08-04 |
| 1811373640 | Melissa Ruiz | Marriage & Family Therapist | 5815 Stoddard Rd Suite 600, Modesto, CA 95356 | 2015-08-04 |
| 1922242866 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 500 Glass Ln Ste H, Modesto, CA 95356 | 2009-04-22 |
| 1659541647 | Ashley Allison Streeter | Dentist | 556 Lyell Dr, Modesto, CA 95356 | 2008-03-05 |
| 1265636013 | Margaret Kathleen Grisell | Orthopaedic Surgery | 4601 Dale Ave, Kaiser Modesto Medical Center, Orthopedic Surgery, Modesto, CA 95356 | 2007-06-14 |
| 1841412111 | Bobby Gene Boswell | Specialist/Technologist | 3908 Vintage Cove, Modesto, CA 95356 | 2007-05-03 |
| 1598892861 | Merritt Radiological Medical Group Inc | Radiology | 526 Charity Way, Modesto, CA 95356 | 2007-02-27 |
| 1396871091 | Michael Steven Beck | Social Worker | 4640 Spyres Way, Building B, Suite 7, Modesto, CA 95356 | 2007-02-26 |
| Find all providers in zip 95356 | ||||
| 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 |
|---|---|---|---|---|
| 1972135580 | Tran Huyen Smernes | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2020-02-11 |
| 1609349703 | Ankit Parikh | Pharmacist | 1114 6th St, Modesto, CA 95354-2203 | 2019-01-10 |
| 1255818688 | Siona Margaret Emerson | Pharmacist | 4601 Dale Rd, Modesto, CA 95356 | 2018-07-27 |
| 1740655620 | Dmitry Leonov | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2015-12-03 |
| 1346660784 | Kristi Hayden | Pharmacist | 1225 Oakdale Rd, Modesto, CA 95355-3357 | 2014-04-24 |
| 1124396437 | Sumanjeet Kaur Sahi | Pharmacist | 2101 E Hatch Rd, Modesto, CA 95351-4814 | 2011-12-01 |
| 1275819476 | Alan Gene Del Nero | Pharmacist | 2101 E Hatch Rd, Modesto, CA 95351-4814 | 2011-11-01 |
| 1114164159 | Kaity M. Chan | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2009-01-13 |
| 1518104868 | Devaughn Jones | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2009-01-08 |
| 1851544464 | Lynn Riley | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2008-10-28 |
| Find all providers in MODESTO | ||||
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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.