ZACHARY E CLARK (NPI# 1194098871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194098871 |
| Entity Type | Individual |
| Full Name | ZACHARY E CLARK |
| Practice Address |
444 Pacific Ave S Monmouth OR 97361-1543 |
| Practice Telephone | 5038381176 |
| Practice Fax Number | 5038384080 |
| Mailing Telephone | 5038381176 |
| Mailing Fax Number | 5038384080 |
| Enumeration Date | 2012-02-11 |
| Last Update Date | 2012-02-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 10834 | OR | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | STATE PHARMACIST LICENSE | 10834 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063049054 | Zachary Kyle Clark | Student in an Organized Health Care Education/Training Program | 2451 University Hospital Dr Rm 714, Mobile, AL 36617-2300 | 2020-03-27 |
| 1568025211 | Zachary Charles Clark | Student in an Organized Health Care Education/Training Program | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2019-04-18 |
| 1356827844 | Zachary Reilly Clark | Behavior Technician | 6 N Main St Ste 110, Fairport, NY 14450-1581 | 2018-07-17 |
| 1063955318 | Zachary Clark | Occupational Therapist | 555 Anthony Wayne Trl, Waterville, OH 43566-1516 | 2016-11-18 |
| 1790169225 | Zachary Alexander Clark | Massage Therapist | 99-128 Aiea Heights Dr, Suite 207, Aiea, HI 96701-3925 | 2015-07-14 |
| 1023429495 | Zachary Eugene Clark | Radiology | 619 19th St S, Birmingham, AL 35249 | 2014-05-19 |
| Street Address |
444 PACIFIC AVE S |
| City | MONMOUTH |
| State | OR |
| Zip Code | 97361-1543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619900974 | Bimart Corporation | Durable Medical Equipment & Medical Supplies | 444 Pacific Ave S, Monmouth, OR 97361-1543 | 2006-07-09 |
| 1144729013 | Stephen Hotrum | Pharmacist | 444 Pacific Ave S, Monmouth, OR 97361-1543 | 2018-02-06 |
| 1568735033 | Seth M Adams | Pharmacist | 444 Pacific Ave S, Monmouth, OR 97361-1543 | 2012-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811512320 | Wesley Stoecker | Physical Therapist | 512 Main St., Suite 300, Monmouth, OR 97361 | 2020-06-10 |
| 1699050492 | Joshua Fitzgerald Sandeman | Nurse Practitioner | 180 Atwater St N Ofc, Monmouth, OR 97361 | 2011-10-13 |
| 1649487927 | Kimberli Ann Wicks Freilinger | Counselor | 1458 Meadowglen Ct., Monmouth, OR 97361 | 2007-05-17 |
| 1811091044 | Thomas T Mesdag | Podiatrist | 343 E Main St, Monmouth, OR 97361 | 2006-09-08 |
| 1083718357 | Michelle L Hasbrook | Dentist | 120 N. Atwater St., Monmouth, OR 97361 | 2006-09-08 |
| 1417239997 | Life Dream Now | Community/Behavioral Health | 235 Gentle Ave E, Monmouth, OR 97361-1108 | 2011-09-12 |
| 1063805513 | Jordan Ambrose | Chiropractor | 953 Caroline Way E, Monmouth, OR 97361-1202 | 2015-03-09 |
| 1407027584 | Lisa Rochelle Roe | Massage Therapist | 110 Monmouth Ave N Lowr Level, Monmouth, OR 97361-1327 | 2008-03-18 |
| 1265458905 | Christopher Mccarthy Silva | Nurse Practitioner | 345 Monmouth Ave N, Monmouth, OR 97361-1329 | 2006-07-14 |
| 1003440827 | Bo Johnson | Specialist/Technologist | 345 Monmouth Ave N, Monmouth, OR 97361-1329 | 2020-03-02 |
| Find all providers in zip 97361 | ||||
| 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 |
|---|---|---|---|---|
| 1679982110 | Michael Long | Pharmacist | 687 150th Ave, Monmouth, IL 61462-8719 | 2014-08-08 |
| 1528675659 | Morgan June Bair | Pharmacist | 220 N Main St, Monmouth, IL 61462-1741 | 2020-09-23 |
| 1922610245 | Angela Marie Arnold | Pharmacist | 600 N Main St, Monmouth, IL 61462-1267 | 2020-08-18 |
| 1508477159 | Michael Haare | Pharmacist | 600 N Main St, Monmouth, IL 61462-1267 | 2020-08-16 |
| 1144729013 | Stephen Hotrum | Pharmacist | 444 Pacific Ave S, Monmouth, OR 97361-1543 | 2018-02-06 |
| 1003205634 | Nancy Elsharkawy | Pharmacist | 600 N Main St, Monmouth, IL 61462-1267 | 2015-01-20 |
| 1407286032 | Chad Bohlman | Pharmacist | 220 N Main St, Monmouth, IL 61462-1741 | 2013-11-18 |
| 1982031696 | Sarah Elizabeth Dravis | Pharmacist | 600 N Main St, Monmouth, IL 61462-1267 | 2013-09-26 |
| 1568735033 | Seth M Adams | Pharmacist | 444 Pacific Ave S, Monmouth, OR 97361-1543 | 2012-02-14 |
| 1205119427 | Julie Petersen | Pharmacist | 600 N Main St, Monmouth, IL 61462-1267 | 2011-09-23 |
| Find all providers in MONMOUTH | ||||
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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.