Brian A Johnson Md Pc in Winamac - Non-pharmacy Dispensing Site
Brian A Johnson Md Pc - NPI 1467535799
Brian A Johnson Md Pc is a Non-pharmacy Dispensing Site in Winamac, Indiana. Brian A Johnson Md Pc practices all healthcare services and medical treatments related to Non-pharmacy Dispensing Site. The NPI Number for Brian A Johnson Md Pc is 1467535799. The last update date is 2008-06-20.
Brian A Johnson Md Pc's current location address is 613 Terrace Dr, Winamac, Indiana. You can contact this provider via phone number 5749466644. The mailing address for Brian A Johnson Md Pc is 613 Terrace Dr, Winamac, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Brian A Johnson Md Pc |
|---|---|
| Address | 613 Terrace Dr, Winamac, Indiana |
| Phone Number | 5749466644 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGED CA |
|---|---|
| Authorized Official Name | Shackelford Direndia |
| Telephone Number | 8006540889 |
NPI Number Detail
| NPI Number | 1467535799 |
|---|---|
| Provider Enumeration Date | 2006-10-23 |
| Last Updated Date | 2008-06-20 |
Provider Mailing Address Detail
| Address | 613 Terrace Dr |
|---|---|
| City | Winamac |
| State | Indiana (IN) |
| Post Code | 469961111 |
| Phone Number | 5749466644 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Non-pharmacy Dispensing Site |
|---|---|
| Taxonomy | 332900000X |
| Licence No | 5003424A |
|
Definition: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1535561 | OTHER ID NUMBER-COMMERCIAL NUM | ||
| 100210710 | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Brian A Johnson Md Pc by the Centers for Medicare & Medicaid Services?
The Brian A Johnson Md Pc has been assigned the NPI (National Provider Identifier) 1467535799 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Brian A Johnson Md Pc?
The Brian A Johnson Md Pc is physically situated at 613 Terrace Dr, in the city of Winamac, state of IN, with the postal code 469961111.
What is the area of specialization for Brian A Johnson Md Pc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Brian A Johnson Md Pc is Non-pharmacy Dispensing Site, and the corresponding taxonomy code that categorizes this area of expertise is 332900000X.
On what date did Brian A Johnson Md Pc receive its 1467535799 assignment from the Centers for Medicare & Medicaid Services?
The Brian A Johnson Md Pc was assigned its 1467535799 on 2006-10-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Brian A Johnson Md Pc's details last updated?
The information pertaining to the Brian A Johnson Md Pc, including its address, specialty, and other details, was most recently updated on 2008-06-20.