Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1760140503 Individual Practitioner Female Practitioner

Renu Johnson

Pharmacist • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Renu Johnson is a registered healthcare professional specializing in Pharmacist in Fort Wayne, IN. Practice services are available at 5311 COLDWATER RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5311 Coldwater Rd

Fort Wayne, IN 468255444

Telephone 2604844528
Associated Practice Facility / Clinic
🏢 Wal-Mart Stores East Lp Facility NPI 1396762506

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Fort Wayne, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
385 Specialists

Practicing in Fort Wayne, IN (5218 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-11-15
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License IN 26028520A

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1306443007

Doctor of Pharmacy (Pharm.D.)

NPI 1992536676

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 29, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location November 29, 2021

Registered at 5311 COLDWATER RD, FORT WAYNE, IN 468255444 (Tel: 2604844528)

📍
Updated Business Mailing Address November 29, 2021

Registered at 11008 MILLWOOD CT, FORT WAYNE, IN 468456153 (Tel: 5204909347)

👤
Provider Name / Credentials Updated November 29, 2021

Recorded as RENU JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 29, 2021

Pharmacist (License #26028520A in IN)

🟢
Initial NPI Registration & Enumeration November 29, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760140503
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 29, 2021
Last Update: November 29, 2021
Sole Proprietor: No

Mailing Address

11008 Millwood Ct

Fort Wayne, IN 468456153

Phone: 5204909347

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.