DR. TIFFANY RENEE' CLARK (NPI# 1194334011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194334011 |
| Entity Type | Individual |
| Full Name | DR. TIFFANY RENEE' CLARK |
| Credential | PHARMD |
| Practice Address |
3701 Loop Rd Tuscaloosa AL 35404-5015 |
| Mailing Address |
5100 Old Birmingham Hwy Apt 405 Tuscaloosa AL 35404-4660 |
| Practice Telephone | 2055542000 |
| Mailing Telephone | 2052439192 |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 21417 | AL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689226805 | Tiffany Renee Clark | Clinic/Center | 6632 Oaks Edge Dr, Zachary, LA 70791-3259 | 2019-07-09 |
| 1033621214 | Tiffany Clark | Occupational Therapy Assistant | 64 Bradford Cir, Sugar Land, TX 77479-2976 | 2017-10-28 |
| 1760831838 | Tiffany Lynea Clark | Occupational Therapist | 7463 S Quail Cir Apt 313, Littleton, CO 80127-4922 | 2016-06-08 |
| 1134590953 | Tiffany Clark | Case Manager/Care Coordinator | 4253 Crossover Rd., Fayetteville, AR 72703 | 2015-10-20 |
| 1639596398 | Tiffany Clark | Home Health Aide | 11830 Jenner Ln, Saint Louis, MO 63138-1212 | 2014-03-19 |
| 1558655498 | Tiffany Dawn Clark | Massage Therapist | 3951 Arrowhead Dr, Unit C, Medford, OR 97504-7257 | 2011-06-08 |
| 1689831539 | Tiffany Clark | Licensed Practical Nurse | 20331 Tracy Ave, Euclid, OH 44123-3040 | 2008-05-19 |
| 1750588307 | Tiffany Devon Clark | Physical Therapy Assistant | 432 Hermitage Dr., Danville, VA 24541 | 2007-06-28 |
| 1245844380 | Tiffany Clark | Pharmacist | 1700 E 38th St, Marion, IN 46953-4568 | 2020-09-05 |
| 1467934240 | Tiffany Clark | Social Worker | 1430 Main St, Waltham, MA 02451-1623 | 2018-08-29 |
| Street Address |
3701 LOOP RD |
| City | TUSCALOOSA |
| State | AL |
| Zip Code | 35404-5015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881690832 | Deidre Clark | Pharmacist | 3701 Loop Rd, Tuscaloosa, AL 35404-5015 | 2005-06-23 |
| 1972100089 | John Morris Little | Counselor | 3701 Loop Rd, Tuscaloosa, AL 35404-5015 | 2020-10-02 |
| 1790382927 | Shabrekia Shantelle Neal | Social Worker | 3701 Loop Rd, Tuscaloosa, AL 35404-5015 | 2020-10-01 |
| 1285241455 | Evelyn Jemison | Social Worker | 3701 Loop Rd, Tuscaloosa, AL 35404-5015 | 2020-09-30 |
| 1851908768 | Cierra Silver Ball | Registered Nurse | 3701 Loop Rd, Tuscaloosa, AL 35404-5015 | 2020-09-24 |
| 1952918971 | Sharon Amanda Prestridge | Social Worker | 3701 Loop Rd, Tuscaloosa, AL 35404-5015 | 2020-09-24 |
| 1972119022 | Lashaunda Renae Lark-darien | Social Worker | 3701 Loop Rd, Tuscaloosa, AL 35404-5015 | 2020-09-23 |
| 1598371676 | Toi Lynn Gordon | Social Worker | 3701 Loop Rd, Tuscaloosa, AL 35404-5015 | 2020-09-23 |
| 1629684824 | Jasmine Ruffin Colvin | Social Worker | 3701 Loop Rd, Tuscaloosa, AL 35404-5015 | 2020-09-22 |
| 1396351169 | Lameka Lashae Hunter | Social Worker | 3701 Loop Rd, Tuscaloosa, AL 35404-5015 | 2020-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942774146 | Dch Encore Rehabilitation, LLC | Clinic/Center | 1050 Ruby Tyler Parkwasy, Tuscaloosa, AL 35404 | 2019-01-22 |
| 1629465422 | Emily Dykes | Dietitian, Registered | 1000 13th St E Sted, Tuscaloosa, AL 35404 | 2015-04-20 |
| 1780075077 | Lesley Handjis | Nurse Practitioner | 1100 Ruby Tyler Parkway, Tuscaloosa, AL 35404 | 2015-02-09 |
| 1790128825 | Ryan Carl Morrison | Dentist | 1701 Mcfarland Blvd E Ste 122, Tuscaloosa, AL 35404 | 2013-04-08 |
| 1962745000 | Jay William Holliday | Kinesiotherapist | 3707 Loop Rd., Tuscaloosa Va Medical Center, Tuscaloosa, AL 35404 | 2013-03-27 |
| 1538305719 | John Phillip Long | Dentist | 1600 University Blvd E, Tuscaloosa, AL 35404 | 2008-12-18 |
| 1841441656 | Payless Optical Outlets, Inc | Technician/Technologist | 622 15th Street E., Tuscaloosa, AL 35404 | 2008-10-10 |
| 1346408291 | William Heflin Barton IIi | Emergency Medicine | 1718 Veterans Memorial Parkway, Tuscaloosa, AL 35404 | 2008-05-28 |
| 1629245931 | Louis T Payne | Obstetrics & Gynecology | 535 Jack Warner Parkway Ne, Suite I, Tuscaloosa, AL 35404 | 2008-05-15 |
| 1780746719 | Tuscaloosa Medical Associates | Internal Medicine | 1120 Ruby Tyler Parkway, Tuscaloosa, AL 35404 | 2006-12-15 |
| Find all providers in zip 35404 | ||||
| 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 |
|---|---|---|---|---|
| 1205456886 | Mandi Linn Woodruff | Pharmacist | 808 Veterans Memorial Pkwy, Tuscaloosa, AL 35404-5809 | 2020-04-23 |
| 1013555432 | Samantha Beams I | Pharmacist | 3611 Rice Mine Rd Ne Lot 140, Tuscaloosa, AL 35406-1547 | 2019-12-16 |
| 1477095263 | Nicole W. Champion | Pharmacist | 11346 River Oak Cir, Tuscaloosa, AL 35405-8106 | 2016-11-09 |
| 1811360894 | Stephen D Yarbrough | Pharmacist | 11271 Woodbank Way, Tuscaloosa, AL 35405-9510 | 2015-11-12 |
| 1386089282 | John Logan Bailey | Pharmacist | 809 University Boulevard, Dch Regional Medical Center, Tuscaloosa, AL 35401 | 2013-05-06 |
| 1295001485 | Tasmin Abdulrauf | Pharmacist | 634 Homestead Ln, Tuscaloosa, AL 35405-9745 | 2012-04-01 |
| 1184909475 | Walter Dewaine Brewer | Pharmacist | 8701 Hwy 69 South, Tuscaloosa, AL 35405 | 2011-10-18 |
| 1700173671 | Debora Thornburg | Pharmacist | 10440 Shadowview Rd, Tuscaloosa, AL 35405-9467 | 2011-06-29 |
| 1568757631 | Shayna Leigh Prescott | Pharmacist | 1901 15th Ave East, T1787, Tuscaloosa, AL 35401 | 2011-06-16 |
| 1821387184 | Ronnie Eugene Attaway | Pharmacist | 2916 University Blvd E, Tuscaloosa, AL 35404-4246 | 2011-04-06 |
| Find all providers in TUSCALOOSA | ||||
| City | TUSCALOOSA |
| Zip Code | 35404 |
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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.