SAMANTHA CLARK (NPI# 1225636442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225636442 |
| Entity Type | Individual |
| Full Name | SAMANTHA CLARK |
| Other Name | SAMANTHA GRACE SPARR |
| Practice Address |
3914 Capital Blvd Raleigh NC 27604-3412 |
| Practice Telephone | 9198765600 |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2020-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 29754 | NC | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710593462 | Samantha Clark | Student in an Organized Health Care Education/Training Program | 182 Chickasaw Trl, Pontotoc, MS 38863-8857 | 2020-09-18 |
| 1285268177 | Samantha Fay Clark | Behavior Technician | 990d Klamath Ln, Yuba City, CA 95993-8961 | 2020-02-28 |
| 1225525298 | Samantha R Clark | Case Manager/Care Coordinator | Juneau County Dept. of Human Services, 200 Hickory Street, Mauston, WI 53948-2101 | 2018-04-16 |
| 1699186841 | Samantha Clark | Obstetrics & Gynecology | 224 W Exchange St Ste 420, Akron, OH 44302-1718 | 2014-05-09 |
| 1902430630 | Samantha Clark | Behavior Technician | 1620 N Main St Ste 1, Walnut Creek, CA 94596-4653 | 2020-03-03 |
| 1366081036 | Samantha Clark | Case Manager/Care Coordinator | 801 Hazen St Ste C, Paw Paw, MI 49079-2008 | 2019-12-30 |
| 1144869900 | Samantha Jane Clark | Pharmacist | 330 Pine Tree Rd, Ithaca, NY 14850-2819 | 2019-12-26 |
| 1548816630 | Samantha Clark | Occupational Therapist | 1797 King Ave, Kings Mills, OH 45034-1721 | 2019-08-14 |
| 1871154443 | Samantha Jeanine Clark | Marriage & Family Therapist | 2621 Oswell St Ste 119, Bakersfield, CA 93306-3172 | 2019-06-25 |
| 1902460710 | Samantha Leigh Clark | Specialist | 9 Vose Farm Rd Ste 120, Peterborough, NH 03458-2154 | 2019-04-26 |
| Street Address |
3914 CAPITAL BLVD |
| City | RALEIGH |
| State | NC |
| Zip Code | 27604-3412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962505727 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3914 Capital Blvd, Raleigh, NC 27604-3412 | 2006-09-07 |
| 1588209811 | Samantha Poon | Pharmacist | 3914 Capital Blvd, Raleigh, NC 27604-3412 | 2019-11-11 |
| 1801360896 | Sullynette Guerrero-dehostos | Pharmacist | 3914 Capital Blvd, Raleigh, NC 27604-3412 | 2019-01-14 |
| 1649653841 | Megan Forrest | Pharmacist | 3914 Capital Blvd, Raleigh, NC 27604-3412 | 2015-07-07 |
| 1124425616 | Kara Seiden | Pharmacist | 3914 Capital Blvd, Raleigh, NC 27604-3412 | 2014-11-26 |
| 1699170324 | Karen Kepler | Pharmacist | 3914 Capital Blvd, Raleigh, NC 27604-3412 | 2014-10-23 |
| 1073920419 | Eric Bernard Mobley | Pharmacist | 3914 Capital Blvd, Raleigh, NC 27604-3412 | 2014-07-17 |
| 1114359650 | Lauren Radley | Pharmacist | 3914 Capital Blvd, Raleigh, NC 27604-3412 | 2013-08-07 |
| 1912259722 | Aaron Hupp | Pharmacist | 3914 Capital Blvd, Raleigh, NC 27604-3412 | 2012-10-04 |
| 1780977884 | Matthew Charles Wiesmore | Pharmacist | 3914 Capital Blvd, Raleigh, NC 27604-3412 | 2011-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326669748 | Monet Josey | Counselor | 3020 Highwood Blvd, Raleigh, NC 27604 | 2020-04-27 |
| 1154979094 | Ride4health Transportation Inc | Non-emergency Medical Transport (VAN) | 3200 Capital Blvd, Raleigh, NC 27604 | 2019-09-03 |
| 1851890750 | Sasilana Letreva Burden | In Home Supportive Care | 4000 Northstone Drive Apt 307, Raleigh, NC 27604 | 2018-02-06 |
| 1093226383 | The Eye Institute Od, Pa | Optometrist | 111 Seaboard Ave Ste 110, Raleigh, NC 27604 | 2017-10-13 |
| 1902326044 | Ngozi Ifeoma Osiebo | Nurse Practitioner | 4608 Wedgewood Drive, Raleigh, NC 27604 | 2017-06-20 |
| 1144765520 | Rose Hill Family Care Home | Custodial Care Facility | 1705 Beacon Bluff Street, Raleigh, NC 27604 | 2016-12-21 |
| 1437609948 | Mercy Manor At Saybrooke, Inc | Custodial Care Facility | 6320 Saybrooke Drive, Raleigh, NC 27604 | 2016-10-07 |
| 1972969913 | Shivas Gilotra | Nurse Practitioner | 805 Oberlin Road, Ste 200, Raleigh, NC 27604 | 2016-01-06 |
| 1609247915 | Charisse Justine Young | Social Worker | 2609 Atlantic Avenue, Suite 111c, Raleigh, NC 27604 | 2015-10-13 |
| 1356748933 | John T Hart | Counselor | 1115-113 Cove Bridge Road, Raleigh, NC 27604 | 2014-11-26 |
| Find all providers in zip 27604 | ||||
| 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 |
|---|---|---|---|---|
| 1578160149 | Brett Daniel England | Pharmacist | 401 Glenwood Ave Ste 101, Raleigh, NC 27603-1219 | 2020-10-06 |
| 1720600505 | Latarshia Boone | Pharmacist | 11913 Sycamore Grove Ln, Raleigh, NC 27614-7999 | 2020-05-14 |
| 1841833191 | Srividya Sankaranarayanan | Pharmacist | 10700 World Trade Blvd, Raleigh, NC 27617-4219 | 2019-10-18 |
| 1538712906 | Ruchi Patel | Pharmacist | 325 Amber Acorn Ave, Raleigh, NC 27603-5440 | 2019-07-24 |
| 1235605288 | Christine Salama | Pharmacist | 5621 Atlantic Ave Ste 103, Raleigh, NC 27615-7581 | 2018-10-17 |
| 1245717388 | Taylor Shea Gaffney | Pharmacist | 308 Danforth Ct, Raleigh, NC 27615-6505 | 2018-07-22 |
| 1164937728 | Marcy Thompson | Pharmacist | 6024 Falls of Neuse Rd, Raleigh, NC 27609-3526 | 2017-12-05 |
| 1821514498 | Engy Derias | Pharmacist | 10805 Orwin Manor Dr, Raleigh, NC 27617-8281 | 2017-08-16 |
| 1184149312 | Mianmian Sun | Pharmacist | 2815 Cates Ave Box 7304, Raleigh, NC 27695-0001 | 2017-08-09 |
| 1487178620 | John Patrick Morton | Pharmacist | 2411 Landmark Dr, Raleigh, NC 27607 | 2017-07-31 |
| Find all providers in RALEIGH | ||||
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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.