DR. BENJAMIN PAUL CLARK (NPI# 1326321811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326321811 |
Entity Type | Individual |
Full Name | DR. BENJAMIN PAUL CLARK |
Credential | PHARM.D, MPA |
Practice Address |
2318 Frederica St Owensboro KY 42301-4826 |
Mailing Address |
8457 Stillhouse Rd Whitesville KY 42378-9582 |
Practice Telephone | 2706867873 |
Mailing Telephone | 2706867873 |
Enumeration Date | 2011-09-21 |
Last Update Date | 2011-09-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 183500000X | Pharmacist | 26023978A | IN | Pharmacy Service Providers |
Y | 183500000X | Pharmacist | 015052 | KY | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548750110 | Benjamin Addril Clark | Pharmacist | Se Regional Pharmacy Attn: Ben Clark, 300 First Avenue South, Reidsville, GA 30453 | 2018-05-18 |
1285189704 | Benjamin Clark | Physical Therapist | 4501 Main St Ste 5, Shallotte, NC 28470-4585 | 2016-08-25 |
1275931479 | Benjamin Brian Clark | Physical Therapist | 7909 Forrest Ave, Belton, MO 64012-5303 | 2014-12-22 |
1831400894 | Benjamin T Clark | Family Medicine | 35945 N Gary Rd, San Tan Valley, AZ 85143-5748 | 2010-06-24 |
1497708572 | Benjamin S Clark | Nurse Practitioner | 1861 Main Street, Sneedville, TN 37869 | 2006-05-18 |
1598743627 | Benjamin Todd Clark | Dentist | 52 Medical Group, Unit 3690, Apo, AE 09126 | 2006-01-09 |
1730680232 | Benjamin Jonah Clark | Case Manager/Care Coordinator | 344 E 100 S Ste 301, Salt Lake City, UT 84111-1727 | 2018-02-21 |
1851773196 | Benjamin Clark | General Practice | 3288 Moanalua Rd, Honolulu, HI 96819 | 2015-06-23 |
1699180448 | Benjamin Allen Clark | Dentist | 1220 N Washington Ave, Durant, OK 74701-2120 | 2014-06-30 |
1790105674 | Benjamin Joseph Clark | Internal Medicine | 6431 Fannin St, Houston, TX 77030-1501 | 2014-04-18 |
Street Address |
2318 FREDERICA ST |
City | OWENSBORO |
State | KY |
Zip Code | 42301-4826 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124033378 | Walgreen Co | Pharmacy | 2318 Frederica St, Owensboro, KY 42301-4826 | 2006-07-29 |
1659984433 | Mitchell David Wadding | Pharmacist | 2318 Frederica St, Owensboro, KY 42301-4826 | 2020-08-31 |
1477165033 | Yvette R Greenwell | Pharmacist | 2318 Frederica St, Owensboro, KY 42301-4826 | 2020-08-17 |
1861959140 | Philip Michael Mcclure | Pharmacist | 2318 Frederica St, Owensboro, KY 42301-4826 | 2019-02-22 |
1053695007 | Audie Moyers | Pharmacist | 2318 Frederica St, Owensboro, KY 42301-4826 | 2011-10-07 |
1407130164 | Jeb Stewart | Pharmacist | 2318 Frederica St, Owensboro, KY 42301-4826 | 2011-09-29 |
1730462805 | Timothy R. Mcdaniel | Pharmacist | 2318 Frederica St, Owensboro, KY 42301-4826 | 2011-09-24 |
1003199233 | Johnathan T Fuller | Pharmacist | 2318 Frederica St, Owensboro, KY 42301-4826 | 2011-09-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124558002 | To The Max Behavior Therapy, LLC | Behavioral Analyst | 905 Griffith Avenue, Owensboro, KY 42301 | 2017-06-14 |
1558747014 | Kendall L Tapp | Counselor | 1925 Frederica St, Owensboro, KY 42301 | 2015-08-07 |
1104168210 | Behavior Associates, LLC | Psychologist | 3445 Wathens Xing Ste 104, Owensboro, KY 42301 | 2013-03-27 |
1285990259 | Jaime E Ford | Preventive Medicine | 1723 Windsor Ave., Owensboro, KY 42301 | 2012-04-04 |
1457637043 | Bliss United Dental Services Dba Owensboro Family Dentistry | Dentist | 4921 Goetz Dr., Owensboro, KY 42301 | 2011-10-26 |
1932483138 | Dennis Craig Hodges | Pharmacist | 2318 Frederica Street, Owensboro, KY 42301 | 2011-10-06 |
1225317381 | Donna Kay Ewing | Social Worker | 1925 Frederica St Ste 200, Owensboro, KY 42301 | 2011-08-08 |
1639489230 | Easycare Inc | Durable Medical Equipment & Medical Supplies | 5010 Back Square Drive, Owensboro, KY 42301 | 2010-10-15 |
1962727529 | Amy Martin | Physical Therapy Assistant | 2420 West Thrid Street, Owensboro, KY 42301 | 2010-04-07 |
1215163837 | Green River District Health Department | Public Health or Welfare | 5390 Hwy 56, Owensboro, KY 42301 | 2009-06-10 |
Find all providers in zip 42301 |
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 |
---|---|---|---|---|
1952921991 | Carl P Lewis | Pharmacist | Nation's Medicines, 3000 Alvey Park Drive West, Owensboro, KY 42303 | 2020-04-20 |
1235608787 | Carolynn Horn | Pharmacist | 4383 Springhurst Ln, Owensboro, KY 42303-4476 | 2018-11-14 |
1821504507 | Islam Erouk | Pharmacist | 3026 Highway 144, Owensboro, KY 42303-0243 | 2017-12-18 |
1609207950 | Emily King | Pharmacist | 3424 S Griffith Ave, Owensboro, KY 42301-6033 | 2013-12-11 |
1881959815 | Barry Lee Gaddis | Pharmacist | 3351 Shadewood Ter, Owensboro, KY 42303-8819 | 2012-07-05 |
1932483138 | Dennis Craig Hodges | Pharmacist | 2318 Frederica Street, Owensboro, KY 42301 | 2011-10-06 |
1861789166 | Paula Anne Moore | Pharmacist | 5151 Frederica Street, Owensboro, KY 42301-7443 | 2011-07-07 |
1114216397 | Julia Elaine Kennedy | Pharmacist | 2440 New Hartford Rd, Owensboro, KY 42303-1311 | 2011-03-28 |
1861791543 | Anna Maria Wright | Pharmacist | 3026 E 4th St, Owensboro, KY 42303-0243 | 2011-03-21 |
1639499916 | Billy-clyde Childress | Pharmacist | 1301 Pleasant Valley Rd Ste 104, Owensboro, KY 42303-9774 | 2010-06-09 |
Find all providers in OWENSBORO |
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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.