LATRISHA ANN JOHNSON (NPI# 1942858741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942858741 |
| Entity Type | Individual |
| Full Name | LATRISHA ANN JOHNSON |
| Credential | CPHT |
| Practice Address |
3955 Phelan Blvd Beaumont TX 77707-2223 |
| Practice Telephone | 4098331298 |
| Practice Fax Number | 4098331667 |
| Mailing Telephone | 4098331298 |
| Mailing Fax Number | 4098331667 |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2019-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | 112497 | TX | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | STATE BOARD REGISTRATION | 112497 | 01 |
| Street Address |
3955 PHELAN BLVD |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77707-2223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609937770 | Retail Investors of Texas, Ltd. | Pharmacy | 3955 Phelan Blvd, Beaumont, TX 77707-2223 | 2006-12-13 |
| 1427606789 | Brittany Nicole Pina | Pharmacy Technician | 3955 Phelan Blvd, Beaumont, TX 77707-2223 | 2019-08-29 |
| 1134777980 | Kristina Ann Knowles | Pharmacy Technician | 3955 Phelan Blvd, Beaumont, TX 77707-2223 | 2019-08-26 |
| 1417504333 | Terri Lynn Moye | Pharmacy Technician | 3955 Phelan Blvd, Beaumont, TX 77707-2223 | 2019-08-26 |
| 1013569292 | Jerry Lynn Philmon | Pharmacist | 3955 Phelan Blvd, Beaumont, TX 77707-2223 | 2019-07-09 |
| 1871155150 | William Bruce Tarver | Pharmacist | 3955 Phelan Blvd, Beaumont, TX 77707-2223 | 2019-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437718004 | Kelsey Marie Burt | Speech-Language Pathologist | 87 I-10, Beaumont, TX 77707 | 2019-06-07 |
| 1245898808 | Primary Care Anywhere, Pllc | Nurse Practitioner | 4347 Phelan, Suite 101, Beaumont, TX 77707 | 2019-05-30 |
| 1598321663 | Kacy Keitha Priddy | Occupational Therapist | 1846 I-10 S, Suite 102, Beaumont, TX 77707 | 2019-05-14 |
| 1144791963 | Jeffery Ray Manzer | Counselor | 3350 Dowlen Rd Suite J, Beaumont, TX 77707 | 2018-12-06 |
| 1497247217 | Haley Hebert | Speech-Language Pathologist | 87 I 10 N, Suite 225, Beaumont, TX 77707 | 2018-06-06 |
| 1548712383 | Taylor Miguez | Speech-Language Pathologist | 87 I-10 Frontage Rd #225, Beaumont, TX 77707 | 2016-10-27 |
| 1720534043 | Jacie Woodson | Speech-Language Pathologist | 87 I-10 Frontage Rd. 225, Beaumont, TX 77707 | 2016-08-28 |
| 1285187047 | Paula Boudreaux | Speech-Language Pathologist | 87 I-10 Frontage Rd, Suite 225, Beaumont, TX 77707 | 2016-07-28 |
| 1790138568 | Meagan Alyse Hartwick | Speech-Language Pathologist | 87 I-10 Frontage Rd., 225, Beaumont, TX 77707 | 2016-07-18 |
| 1376992578 | Laurie Lynette Jansky | Family Medicine | 3650 Laurel Ave, Beaumont, TX 77707 | 2016-06-08 |
| Find all providers in zip 77707 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427606789 | Brittany Nicole Pina | Pharmacy Technician | 3955 Phelan Blvd, Beaumont, TX 77707-2223 | 2019-08-29 |
| 1134777980 | Kristina Ann Knowles | Pharmacy Technician | 3955 Phelan Blvd, Beaumont, TX 77707-2223 | 2019-08-26 |
| 1417504333 | Terri Lynn Moye | Pharmacy Technician | 3955 Phelan Blvd, Beaumont, TX 77707-2223 | 2019-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942800842 | Arsalan Ahmed | Pharmacy Technician | 1801 Addington Dr, Carrollton, TX 75007-3009 | 2020-10-29 |
| 1104433119 | Waleska Sanchez Ojeda | Pharmacy Technician | 1902 Windward Dr Apt D, Killeen, TX 76543-8900 | 2020-09-24 |
| 1093334369 | Jose De Jesus Arellano Delgadillo | Pharmacy Technician | 3810 Hatwig Flds, Converse, TX 78109-3583 | 2020-04-15 |
| 1346879921 | Wendy Sue Willoughby | Pharmacy Technician | 201 Us Hwy 59, Atlanta, TX 75551 | 2020-04-06 |
| 1669007480 | Ursula Henry | Pharmacy Technician | 2656 S Loop W Ste 255, Houston, TX 77054-2698 | 2020-03-12 |
| 1861024341 | Kaytlynn Flowers | Pharmacy Technician | 514 South Oklahoma Cutoff, Burkburnett, TX 76354 | 2020-02-12 |
| 1275164881 | Trevor William Price | Pharmacy Technician | 401 W 39th St Apt 210, Austin, TX 78751-4928 | 2020-02-01 |
| 1760013619 | Fabrice Lionel Pougoue Ngomsi | Pharmacy Technician | 12041 Dessau Rd Apt 2309, Austin, TX 78754-1729 | 2020-01-30 |
| 1841821766 | Paige Alana Travillion | Pharmacy Technician | 1521 Augusta Bend Dr, Hutto, TX 78634-5274 | 2020-01-29 |
| 1790316693 | Anuki Rukshani Weerakoon-wijeratne | Pharmacy Technician | 16605 Southwest Fwy Mob3, Ste 100, Sugar Land, TX 77479 | 2020-01-29 |
| Find all providers with the same taxonomy | ||||
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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.