DR. HARRISON CHARLES JOHNSON (NPI# 1972159101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972159101 |
| Entity Type | Individual |
| Full Name | DR. HARRISON CHARLES JOHNSON |
| Credential | PHARMD |
| Practice Address |
113 Comanche Rd Fort Meade SD 57741-1002 |
| Mailing Address |
930 N 10th St Apt 15 Spearfish SD 57783-2251 |
| Practice Telephone | 6053472511 |
| Mailing Telephone | 3072771771 |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2019-08-13 |
| 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 |
4178 | WY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750325437 | Harrison Johnson | Physical Medicine & Rehabilitation | 1675 Leahy St, Suite 401 A, Muskegon, MI 49442-5500 | 2006-06-15 |
| Street Address |
113 COMANCHE RD |
| City | FORT MEADE |
| State | SD |
| Zip Code | 57741-1002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003893819 | Andrew J. Cottingham IIi | Anesthesiology | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2005-12-22 |
| 1306463203 | Emily Adrienne Benson | Audiologist | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2020-06-26 |
| 1942836093 | Jason William Chipman | Counselor | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2020-03-20 |
| 1114553799 | Talona Gonzalez | Social Worker | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2020-03-16 |
| 1497396618 | Jenna Pruitt | Occupational Therapist | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2019-09-30 |
| 1992351423 | Carly Renae Wilson | Social Worker | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2019-08-12 |
| 1578119988 | Lindsay Heimann | Pharmacist | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2019-08-12 |
| 1093367369 | Megan Czmowski | Pharmacist | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2019-07-16 |
| 1033761044 | Amber Rose Jones | Social Worker | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2019-07-10 |
| 1558928994 | Jody Ann Smith | Social Worker | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2019-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912424243 | Lisa Yvette Henderson | Nurse Practitioner | Va Black Hills Health Care System, 113 Comanche Rd, Fort Meade, SD 57741 | 2017-08-28 |
| 1588754626 | Rama K.t Varma | Urology | Veterans Administration Medical Center - Fort Meade, 113 Comanche Rd, Fort Meade, SD 57741 | 2006-10-12 |
| 1720171580 | Bruce Harris Allen | Surgery | 113 Comanche Rd., Fort Meade, SD 57741 | 2006-10-02 |
| 1497976955 | Phillip Victor Thompson | Pharmacist | 113 Comanche Road, Sturgis, SD 57741 | 2007-05-01 |
| 1396831301 | Mary Clearing-sky | Psychologist | 113 Comanche Road, Fort Meade, SD 57741 | 2006-10-05 |
| 1811955206 | Susan Renae Morris | Physician Assistant | 113 Comanche Road, Fort Meade, SD 57741-1002 | 2006-05-03 |
| 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 |
|---|---|---|---|---|
| 1790297620 | Ashley Pederson | Pharmacist | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2017-11-01 |
| 1255735403 | Christine Ng | Pharmacist | 2480 Llewellyn Ave, Fort Meade, MD 20755-7081 | 2014-10-17 |
| 1598173551 | Chelsea Schmidt | Pharmacist | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2014-07-22 |
| 1598171399 | Martin Sutat Anderson | Pharmacist | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2014-07-01 |
| 1881000628 | Anna Rae Delzer | Pharmacist | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2014-07-01 |
| 1437426806 | Bonnie Kathleen Walno | Pharmacist | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2011-11-29 |
| 1760790729 | Cole Kling | Pharmacist | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2010-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689191363 | Ryan Anthony Waybright | Pharmacist | Po Box 5045, Sioux Falls, SD 57117-5045 | 2017-08-24 |
| 1699914523 | Timothy John Dodson | Pharmacist | 21633 Custer Trl, Nemo, SD 57759-7609 | 2009-02-17 |
| 1972102952 | Jessica Kotschegarow | Pharmacist | 2100 Broadway Ave, Yankton, SD 57078-1705 | 2020-10-21 |
| 1790383479 | Heather Opdahl | Pharmacist | Hy-vee Pharmacy, 1320 9th Ave Se, Watertown, SD 57201 | 2020-10-14 |
| 1043845829 | Susan Mary Burbach | Pharmacist | 525 W Cherry St, Vermillion, SD 57069-1141 | 2020-03-11 |
| 1871137083 | Brandon David Hubert | Pharmacist | 2501 W 22nd St, Sioux Falls, SD 57105-1305 | 2019-10-30 |
| 1124510771 | Cassie M Schmidt | Pharmacist | 500 N 5th St, Hot Springs, SD 57747-1480 | 2018-05-30 |
| 1902314990 | Robert Sayles | Pharmacist | 2501 W 22nd St, Sioux Falls, SD 57105-1305 | 2018-01-12 |
| 1710493507 | Karen M Richart | Pharmacist | 1730 N Garfield Ave, Pierre, SD 57501-5507 | 2017-12-16 |
| 1144732041 | Kyle Dvoracek | Pharmacist | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2017-10-31 |
| Find all providers with the same taxonomy | ||||
| City | FORT MEADE |
| Zip Code | 57741 |
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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.