ELIZABETH JEWELL CLARK (NPI# 1174161137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174161137 |
| Entity Type | Individual |
| Full Name | ELIZABETH JEWELL CLARK |
| Credential | PHARMD |
| Practice Address |
3608 S Lafountain St Kokomo IN 46902-3809 |
| Mailing Address |
Po Box 491 Windfall IN 46076-0491 |
| Practice Telephone | 7654552191 |
| Mailing Telephone | 7654256544 |
| Enumeration Date | 2019-12-20 |
| Last Update Date | 2019-12-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 26027977A | IN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083192959 | Elizabeth Grace Clark | Physical Therapist | 1010 Monarch St Ste 150, Lexington, KY 40513-1892 | 2018-08-02 |
| 1548755176 | Elizabeth F Clark | Psychologist | 16 Gleasondale Rd, Stow, MA 01775-1465 | 2018-06-26 |
| 1699217927 | Elizabeth Clark | Counselor | 4200 Ridgecrest Cir Ste A-6, Amarillo, TX 79109-5416 | 2016-11-17 |
| 1346604584 | Elizabeth Ann Clark | Nurse Practitioner | 32 Allen Ct, Staten Island, NY 10310-2703 | 2016-04-13 |
| 1356706543 | Elizabeth Clark | Public Health or Welfare | 295 Broadmeadow Cv, Roswell, GA 30075-2950 | 2015-12-15 |
| 1477946770 | Elizabeth Clark | Counselor | 1250 Route 171, Woodstock, CT 06281-2127 | 2015-03-10 |
| 1649674847 | Elizabeth Clark | Nurse Practitioner | 620 19th Street South 5th Floor Spain Wallace P572c, Birmingham, AL 35233-7410 | 2014-10-16 |
| 1851708325 | Elizabeth Clark | Counselor | 52 Oxford St, Somerville, MA 02143-1608 | 2014-07-16 |
| 1932527579 | Elizabeth Anne Clark | Obstetrics & Gynecology | Dept of Ob Gyn Msc 10 5580, 1 University of New Mexico, Albuquerque, NM 87131 | 2014-04-01 |
| 1700187564 | Elizabeth B Clark | Physical Therapist | 155 Siemers Dr Ste 8, Cape Girardeau, MO 63701-4910 | 2010-11-10 |
| Street Address |
3608 S LAFOUNTAIN ST |
| City | KOKOMO |
| State | IN |
| Zip Code | 46902-3809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245245380 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3608 S Lafountain St, Kokomo, IN 46902-3809 | 2006-07-29 |
| 1467861617 | Maame Owusua Dankwa | Pharmacist | 3608 S Lafountain St, Kokomo, IN 46902-3809 | 2014-08-12 |
| 1023390739 | Gregory Dean Johnson | Pharmacist | 3608 S Lafountain St, Kokomo, IN 46902-3809 | 2011-09-20 |
| 1255613212 | Joseph Thomas Dyer | Pharmacist | 3608 S Lafountain St, Kokomo, IN 46902-3809 | 2011-09-15 |
| 1750663654 | Sean Collett | Pharmacist | 3608 S Lafountain St, Kokomo, IN 46902-3809 | 2011-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699306241 | Amber Barney | Nurse Practitioner | 3611 S Lafountain St, Kokomo, IN 46902 | 2020-02-03 |
| 1215585914 | Kenneth Waitt | Pharmacist | 4026 County Rd E 400 S, Kokomo, IN 46902 | 2019-08-27 |
| 1457906141 | With Dignity Too LLC | Clinic/Center | 1958 West Boulivard, Kokomo, IN 46902 | 2019-08-08 |
| 1649738931 | Kc Caregivers, Inc. | In Home Supportive Care | 4053 S Webster St, Kokomo, IN 46902 | 2019-03-06 |
| 1225514805 | Navneet Aulakh | Dentist | Lakewood Family Dental of Kokomo Pllc, 2302 S Dixon Rd Suite 125, Kokomo, IN 46902 | 2018-07-17 |
| 1285127548 | Jeremy Matthew Gibson | Case Manager/Care Coordinator | 2739 Albright Rd, Kokomo, IN 46902 | 2018-06-12 |
| 1821585175 | Kneeded Balance and Tranquility | Massage Therapist | 3708 S. Lafountain St, Kokomo, IN 46902 | 2018-04-21 |
| 1063812899 | Gabriel Valentine | Counselor | 1613 South Elizabeth St, Apt 1b, Kokomo, IN 46902 | 2014-08-28 |
| 1588085740 | Roni Dinglasa | Physical Therapist | 2102 Cedar Run Drive, Kokomo, IN 46902 | 2013-12-13 |
| 1063761559 | Kimberly R Kuehl | Pharmacist | 1037 S. Reed Road, Kokomo, IN 46902 | 2012-08-30 |
| Find all providers in zip 46902 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| 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. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215585914 | Kenneth Waitt | Pharmacist | 4026 County Rd E 400 S, Kokomo, IN 46902 | 2019-08-27 |
| 1336654342 | Paul Eugene Gamblin | Pharmacist | 1005 Live Oak Ct, Kokomo, IN 46901-0706 | 2017-12-13 |
| 1447628441 | Danielle Rascoe | Pharmacist | 2325 Acorn Dr, Kokomo, IN 46902-7520 | 2015-09-08 |
| 1023405248 | Marsha Dodge | Pharmacist | 3010 Lamplighter Ln, Kokomo, IN 46902-8124 | 2015-04-26 |
| 1063761559 | Kimberly R Kuehl | Pharmacist | 1037 S. Reed Road, Kokomo, IN 46902 | 2012-08-30 |
| 1154683670 | Jennifer Joan Frey | Pharmacist | 705 N Dixon Rd, Kokomo, IN 46901-1755 | 2012-06-11 |
| 1568744464 | Lyndsey Marie Dyer | Pharmacist | 107 S Washington St, Kokomo, IN 46901-4601 | 2011-09-15 |
| 1629192711 | Suzi M Zeiss | Pharmacist | 2301 E Markland Ave, Kokomo, IN 46901-6245 | 2007-03-16 |
| 1740353952 | Karl B. Clearwaters | Pharmacist | 2317 W Jefferson St, Kokomo, IN 46901-4119 | 2006-11-16 |
| 1427040096 | Gregory A Miller | Pharmacist | 3109 W Sycamore St, Kokomo, IN 46901-4026 | 2005-08-18 |
| Find all providers in KOKOMO | ||||
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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.