BONNIE CLARK (NPI# 1306124540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306124540 |
| Entity Type | Individual |
| Full Name | BONNIE CLARK |
| Credential | PHARM.D. |
| Practice Address |
3200 Vine St Cincinnati OH 45220-2213 |
| Mailing Address |
11101 Huntwicke Pl Blue Ash OH 45241-6634 |
| Practice Telephone | 5138613100 |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2019-11-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 03230570-2 | OH | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104173822 | Bonnie J Clark | Licensed Practical Nurse | 47 Caton Rd, Corning, NY 14830-3741 | 2012-08-13 |
| 1306134341 | Bonnie Kathleen Clark | Physical Therapist | 197 E Broadway St, Danville, IN 46122-1803 | 2011-07-12 |
| 1063563310 | Bonnie L Clark | Nurse Practitioner | 5 Silver Rdg, Veazie, ME 04401-7086 | 2007-01-15 |
| 1710074570 | Bonnie Lou Clark | Nurse Practitioner | 200 East Main Avenue, Suite 202, Bismarck, ND 58501 | 2006-10-05 |
| 1063989960 | Bonnie Clark | Counselor | 20370 Poe Sholes Dr, Bend, OR 97703-7938 | 2018-10-29 |
| 1831472133 | Bonnie Lou Clark | Nurse Practitioner | 1319 Duncan Ave, Jeffersonville, IN 47130-3759 | 2011-09-22 |
| 1770700130 | Bonnie Clark | Social Worker | 280 Princeton Avenue Ext, Corning, NY 14830-1524 | 2007-04-19 |
| 1376672428 | Bonnie Clark | Licensed Psychiatric Technician | 1680 Walden Ave, Cheektowaga, NY 14225-4914 | 2007-03-05 |
| 1154355204 | Bonnie B Clark | Nurse Practitioner | 1380 E Medical Center Dr, Suite 1500, St George, UT 84790-2123 | 2006-07-11 |
| 1508899170 | Bonnie Clark | Physician Assistant | 5400 Gibson Blvd Se, Albuquerque, NM 87108-4729 | 2006-07-08 |
| Street Address |
3200 VINE ST |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45220-2213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821082595 | Douglas K Hawley | Internal Medicine | 3200 Vine St, Cincinnati, OH 45220-2213 | 2005-09-08 |
| 1649879370 | Kaydi Dodd | Social Worker | 3200 Vine St, Cincinnati, OH 45220-2213 | 2020-10-23 |
| 1043827397 | Olivia Isabella Schaefer | Psychiatry & Neurology | 3200 Vine St, Cincinnati, OH 45220-2213 | 2020-09-29 |
| 1346857216 | Caroline Ann Durstock | Occupational Therapist | 3200 Vine St, Cincinnati, OH 45220-2213 | 2020-09-25 |
| 1881209989 | Catherine Pearsall | Physical Therapist | 3200 Vine St, Cincinnati, OH 45220-2213 | 2020-09-15 |
| 1386259174 | Lauren Stover | Registered Nurse | 3200 Vine St, Cincinnati, OH 45220-2213 | 2020-09-09 |
| 1750994265 | Rachel Catherine Blain | Psychologist | 3200 Vine St, Cincinnati, OH 45220-2213 | 2020-08-25 |
| 1881206639 | Charlene Tanner Melvin-jones | Licensed Practical Nurse | 3200 Vine St, Cincinnati, OH 45220-2213 | 2020-08-21 |
| 1669084158 | David Macchia | Physical Therapist | 3200 Vine St, Cincinnati, OH 45220-2213 | 2020-08-18 |
| 1316558422 | Anna Catherine Martini | Audiologist | 3200 Vine St, Cincinnati, OH 45220-2213 | 2020-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003414558 | Gerthlan LLC | Home Health | 3220 Jefferson Avenue, Suite 21, Cincinnati, OH 45220 | 2020-10-15 |
| 1598385510 | Michael Aduragbemi Fatuyi | Student in an Organized Health Care Education/Training Program | 375 Dixmyth Ave., Good-samaritan Hospital, Cincinnati, OH 45220 | 2020-04-20 |
| 1982262648 | Frank Hiroshi Harris | Student in an Organized Health Care Education/Training Program | 375 Dixmyth Avenue Dept Of, Internal Medicine Residency, Cincinnati, OH 45220 | 2019-05-29 |
| 1184121303 | Patina E Nelson | Counselor | 311 Martin Luther King Dr W, Cincinnati, OH 45220 | 2018-04-13 |
| 1558701540 | Mohd Amer Alsamman | Internal Medicine | 375 Dixmyth Avenue - Good Samaritan Hospital, 3rd Floor, Medical Education, Cincinnati, OH 45220 | 2013-07-05 |
| 1104057868 | Dorothy Kimberly Grizzell | Occupational Therapy Assistant | 440 Lafayette Ave., Cincinnati, OH 45220 | 2009-07-29 |
| 1184865651 | Maria C Nicholson | Dietitian, Registered | 3219 Clifton Avenue, Suite 325, Cincinnati, OH 45220 | 2009-03-13 |
| 1508066507 | Amy Elizabeth Banks | Physical Therapist | Cincinnati Va Medical Center 3200 Vine Street, Cincinnati, OH 45220 | 2007-07-19 |
| 1821213968 | Ann Gelke | Psychiatry & Neurology | 3447 Cornell Pl, Cincinnati, OH 45220 | 2007-04-16 |
| 1538283627 | Manish Srivastava | Internal Medicine | 375 Dixmyth Ave 8th Floor, Cincinnati, OH 45220 | 2007-03-16 |
| Find all providers in zip 45220 | ||||
| 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 |
|---|---|---|---|---|
| 1457969354 | Cara Felix | Pharmacist | 5588 Squirrel Run, Cincinnati, OH 45247-3615 | 2020-07-16 |
| 1467078758 | Adam Gabriel Friedman | Pharmacist | 409 Milton St Apt 2, Cincinnati, OH 45202-9006 | 2020-06-22 |
| 1265057491 | Dina Abouelseoud | Pharmacist | 1982 8 Mile Rd, Cincinnati, OH 45255-2609 | 2020-06-12 |
| 1124656517 | Charles Mcclure | Pharmacist | 1580 Blue Rock St Unit 420, Cincinnati, OH 45223-2745 | 2020-03-31 |
| 1598399149 | Quang Tran | Pharmacist | 5328 Moeller Ave, Cincinnati, OH 45212-1616 | 2020-02-22 |
| 1851922793 | Jonathan Corey Hampton | Pharmacist | 4434 Festive Ct, Cincinnati, OH 45245-1410 | 2020-01-29 |
| 1730719212 | Robert Riepenhoff | Pharmacist | 260 Stetson St Ste F, Cincinnati, OH 45219-2498 | 2020-01-23 |
| 1336787977 | Brooke Moorhead | Pharmacist | 234 Goodman St # 0739, Cincinnati, OH 45219-2364 | 2019-12-13 |
| 1528609815 | Yuliya Azirbayeva | Pharmacist | 3 West Corry St, Cincinnati, OH 45219 | 2019-10-08 |
| 1245871896 | Jacqueline Marie Dunker | Pharmacist | Walmart Pharmacy 1443, 4370 Eastgate Square Drive, Cincinnati, OH 45245 | 2019-10-04 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45220 |
Please comment or provide details below to improve the information on BONNIE CLARK.
| 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.