WILLIAM J CLARK (NPI# 1245415116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245415116 |
| Entity Type | Individual |
| Full Name | WILLIAM J CLARK |
| Credential | R.PH. |
| Practice Address |
5335 W Genesee St Suite 20 Camillus NY 13031-2265 |
| Mailing Address |
104 Fleetwood Ln Minoa NY 13116-1008 |
| Practice Telephone | 3154870435 |
| Practice Fax Number | 3154870332 |
| Mailing Telephone | 3156562452 |
| Mailing Fax Number | 3154870332 |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2010-02-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 028201 | NY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447819677 | William Eugene Clark | Nurse's Aide | 2869 Howey Rd, Columbus, OH 43224-4028 | 2019-06-11 |
| 1528454154 | William Clark | Specialist/Technologist | 8501 Silverbrook Rd, Lorton, VA 22079-3015 | 2015-04-10 |
| 1639575830 | William Clark | Specialist/Technologist | 7 Reef Rd, Anderson, GU 83901 | 2014-11-15 |
| 1730423278 | William Douglas Clark | Mechanotherapist | 1617 Highway 20 W, Mcdonough, GA 30253-7311 | 2012-11-21 |
| 1487950606 | William D Clark | Massage Therapist | 1160 Lucerne Loop Rd Ne, Winter Haven, FL 33881-9681 | 2011-02-04 |
| 1124320692 | William Warren Clark | Recreation Therapist | 2118 Stagecoach Trl, Temple, TX 76502-3224 | 2010-12-03 |
| 1407093875 | William Todd Clark | Specialist/Technologist, Other | 305 Greenbriar Ct, Otisco, IN 47163-9601 | 2009-01-07 |
| 1922244524 | William J Clark | Technician/Technologist | 3984 Drexel Rd, Pittsburgh, PA 15212-1512 | 2009-01-02 |
| 1023274503 | William Dave Clark | Counselor | 1421 Ossahatchie Creek Rd, Ellerslie, GA 31807-5339 | 2008-08-04 |
| 1598938219 | William Little Clark | Orthopaedic Surgery | 5 Retreat Rd, Augusta, GA 30909-1837 | 2008-04-03 |
| Street Address |
5335 W GENESEE ST SUITE 20 |
| City | CAMILLUS |
| State | NY |
| Zip Code | 13031-2265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962724468 | Christa Marie Grabowski | Pharmacist | 5335 W Genesee St, Suite 20, Camillus, NY 13031-2265 | 2010-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194361337 | Marsha Reedy | Registered Nurse | Baldwinsville Schools, 29 East Oneida Street, Baldwinsville, NY 13031 | 2019-11-22 |
| 1821632167 | Romans Soltani Dentistry, Pllc | Dentist | 5426 W. Genesee Street, Camillus, NY 13031 | 2019-10-30 |
| 1174178859 | Abigail Marie Brunner | Nurse Practitioner | 208 Township Blvd, Suite 100, Camillus, NY 13031 | 2019-08-08 |
| 1649779547 | Claire Isaacson | Counselor | 6000 W Genesee St Ste 400, Camillus, NY 13031 | 2018-02-06 |
| 1811426190 | At Home Independent Living, Inc. | In Home Supportive Care | 4464 Milton Ave, Syracuse, NY 13031 | 2017-06-08 |
| 1548643471 | Podiatry Services of Central New York, PC | Podiatrist | 4912 West Genesee Street, Camillus, NY 13031 | 2015-07-09 |
| 1023497203 | New York Anesthesiology Medical Specialties, PC | Pain Medicine | 5417 West Genesee Street, Suite 1, Camillus, NY 13031 | 2015-05-21 |
| 1194130377 | Costco Wholesale Corporation | Pharmacy | 120 Township Blvd, Camillus, NY 13031 | 2014-06-25 |
| 1487084976 | Todd Ray | Social Worker | 6000 W Genesee St, Camillus, NY 13031 | 2013-11-19 |
| 1093045155 | Rebecca Mae Goal Carroll | Physical Therapist | 5417 W Genesee St, Camillus, NY 13031 | 2010-01-12 |
| Find all providers in zip 13031 | ||||
| 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 |
|---|---|---|---|---|
| 1932683638 | Kevin Michael Fucillo | Pharmacist | 144 Park Way, Camillus, NY 13031-1315 | 2018-09-18 |
| 1124308242 | Peggy Lee | Pharmacist | 27 Queens Way, Apt 3, Camillus, NY 13031-1727 | 2011-08-19 |
| 1558547430 | Elizabeth White Graham | Pharmacist | 5300 W Genesse Street, Camillus, NY 13031-0128 | 2008-01-10 |
| 1003428376 | Matia Senyonga | Pharmacist | 5206 W Genesee St, Camillus, NY 13031-2202 | 2020-08-18 |
| 1881257137 | Alicia Anne Salamino | Pharmacist | 5206 W Genesee St, Camillus, NY 13031-2202 | 2019-04-22 |
| 1417415795 | Cory Pazcoguin | Pharmacist | 5700 W Genesee St Ste 106, Camillus, NY 13031-3200 | 2019-03-06 |
| 1841754686 | Virginia Victoria Coleman | Pharmacist | 5700 W Genesee St Ste 106, Camillus, NY 13031-3200 | 2019-01-25 |
| 1972910446 | Nicole Sigg | Pharmacist | 5206 W Genesee St, Camillus, NY 13031-2202 | 2014-07-16 |
| 1205243011 | Dung T Dang | Pharmacist | 5399 W Genesee St, Camillus, NY 13031-2265 | 2014-07-14 |
| 1467708925 | Dong Bing Liu | Pharmacist | 27 Queens Way, Camillus, NY 13031-1727 | 2012-08-01 |
| Find all providers in CAMILLUS | ||||
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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.