MR. JASON CLARK


Address: 3021 Reidville Rd, Spartanburg, SC 29301-5643
Phone: 8645769201

MR. JASON CLARK (NPI# 1184912883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184912883
Entity Type Individual
Full Name MR. JASON CLARK
Credential RPH
Practice Address 3021 Reidville Rd
Spartanburg
SC 29301-5643
Mailing Address 552 Verdae Dr
Spartanburg
SC 29301-5384
Practice Telephone 8645769201
Practice Fax Number 8645766584
Mailing Telephone 8642372099
Enumeration Date 2011-07-14
Last Update Date 2012-06-19
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 009365 SC Pharmacy Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
SC PHARMACIST 009365 01

Other Providers JASON CLARK

NPI Name Taxonomy Address Enumeration
1033727425 Jason Clark Counselor 2451 N Lincoln Ave Side 2, Chicago, IL 60614-4170 2020-07-21
1548695489 Jason S. Clark Veterinarian 11800 Capital Way, Louisville, KY 40299-6332 2013-09-11
1346201431 Jason Drew Clark Dentist 7810 Providence Rd, Suite 100, Charlotte, NC 28226-2987 2006-03-29
1306197348 Jason Clark Nurse Anesthetist, Certified Registered 620 Skyline Drive, Jackson, TN 38301 2012-10-01
1568711513 Jason E Clark Case Management 4615 Philips Highway, Jacksonville, FL 32207-7265 2012-09-06
1699024695 Jason M Clark Optometrist 101 Conley Rd, Columbia, MO 65201-6465 2012-09-05
1457632705 Jason Clark Physical Therapy Assistant 1001 Giesau Dr, Ontonagon, MI 49953-1454 2011-08-31
1508150301 Jason Clark Occupational Therapist 140 Technology Ln, Johnson City, TN 37604-2004 2011-06-09
1902101959 Jason Andrew Clark Nurse Anesthetist, Certified Registered 1970 Roanoke Blvd, Salem, VA 24153-6404 2011-01-24
1134448525 Jason D Clark Orthopaedic Surgery 480 E Jefferson St, Suite B, Butler, PA 16001-4780 2010-05-25

Office Location

Street Address 3021 REIDVILLE RD
City SPARTANBURG
State SC
Zip Code 29301-5643

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154375954 Stephen A Yost Family Medicine 3021 Reidville Rd, Spartanburg, SC 29301-5643 2006-05-19
1568005023 Nicole Leanne Owens Physician Assistant 3021 Reidville Rd, Spartanburg, SC 29301-5643 2019-10-28
1437675469 Audrey Anne Wildeman Physician Assistant 3021 Reidville Rd, Spartanburg, SC 29301-5643 2017-08-22
1275080723 Mary Beth Hood Nurse Practitioner 3021 Reidville Rd, Spartanburg, SC 29301-5027 2016-09-01
1275905465 Lisa Jett Mathis Nurse Practitioner 3021 Reidville Rd, Spartanburg, SC 29301-5643 2015-10-27
1598003436 Jilian Mcalum Thomas Physician Assistant 3021 Reidville Rd, Spartanburg, SC 29301 2013-01-28
1003163882 Family Physicians of Spartenburg, PC Non-Pharmacy Dispensing Site 3021 Reidville Rd, Spartanburg, SC 29301-5643 2012-08-10
1124382478 Family Physicians of Spartanburg Pharmacy Pharmacy 3021 Reidville Rd, Spartanburg, SC 29301-5643 2012-07-02
1326111998 Kevin D. Boyter Nurse Practitioner 3021 Reidville Rd, Spartanburg, SC 29301-5643 2006-11-15
1003863929 Lee B Taylor Jr. Family Medicine 3021 Reidville Rd, Spartanburg, SC 29301-5643 2006-05-27
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033716253 Proactive Md Tindall Spartanburg Health Center Family Medicine 2273 Hayne St., Spartanburg, SC 29301 2020-10-01
1841757192 Paladina Health, LLC Family Medicine Paladina Health Smith Drug, 9098 Fairforest Road, Spartanburg, SC 29301 2019-02-22
1073021143 Yamira Valentin-fuentes Chiropractor 210 Westgate Mall Dr, Suite 6, Spartanburg, SC 29301 2018-01-11
1124426382 Shellie Smith Social Worker 101 Washington Place, Spartanburg, SC 29301 2014-12-19
1356751770 Lindsey Marie Dillon Counselor 250 Dewey Ave., Spartanburg, SC 29301 2014-05-07
1568892461 Lauren Campbell Heiser Physical Therapist 2660 Reidville Rd # 6&7, Spartanburg, SC 29301 2013-11-14
1871843227 Amy L Roberts Occupational Therapist 355 Oak Grove Rd., Spartanburg, SC 29301 2012-09-13
1023384419 Elizabeth B. Gurley Pharmacist 211 West Blackstock Rd, Spartanburg, SC 29301 2012-03-29
1649564063 Brooke Webster Fuentes Physician Assistant 300 E Blackstock Road, Suite E, Spartanburg, SC 29301 2011-06-02
1487943023 Margaret Elizabeth Wilson Counselor 100 Ezell St., Spartanburg, SC 29301 2011-04-05
Find all providers in zip 29301

Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487154480 Adele Penland Boyce Pharmacist 104 Emory Rd, Spartanburg, SC 29307-2905 2018-02-15
1790137784 Jessica Lee Ho Pharmacist 215 Bent Oak Way, Spartanburg, SC 29301-1201 2016-07-01
1700209905 Robert W Wyatt Pharmacist 203 Cedar Springs Rd, Spartanburg, SC 29302 2014-01-24
1184969867 Thomas Allen Keith Jr. Pharmacist 1908 East Main Street, Spartanburg, SC 29307-2308 2012-12-06
1861746091 James Richard Cantrell Pharmacist 150 Hawk Creek Dr, Spartanburg, SC 29301-1214 2012-11-09
1598015869 Manish Rajkumar Chomal Pharmacist 2660 Reidville Rd Ste 8, Spartanburg, SC 29301-3512 2012-09-14
1225388531 David Clark Pharmacist 87 Garner Rd., Cvs 4174, Spartanburg, SC 29303 2012-09-13
1174873616 Myra Turner Lawson Pharmacist 87 Garner Road, Spartanburg, SC 29303 2012-09-12
1639427438 James Calvin Pugh Jr. Pharmacist 2397 Reidville Rd, Spartanburg, SC 29301-3651 2012-08-27
1609123439 Payal Thadani Pharmacist 2401 Reidville Rd, Spartanburg, SC 29301-3654 2012-08-10
Find all providers in SPARTANBURG

Competitor

Search similar providers

City SPARTANBURG
Zip Code 29301

Improve Information

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Dataset Information

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.

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