MR. DONALD DALE CLARK (NPI# 1336220664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336220664 |
| Entity Type | Individual |
| Full Name | MR. DONALD DALE CLARK |
| Credential | R.PH. |
| Practice Address |
2305 Russellville Rd Bowling Green KY 42101-3920 |
| Practice Telephone | 2707963909 |
| Practice Fax Number | 2707964111 |
| Mailing Telephone | 2707963909 |
| Mailing Fax Number | 2707964111 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 6873 | KY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710391875 | Donald Callan Clark | Anesthesiology | 7585 El Paso St, La Mesa, CA 91942-4302 | 2014-06-17 |
| 1124282538 | Donald Eugene Clark | Community Health Worker | 5117 Tarrywood Ln, Charlotte, NC 28205-4827 | 2008-07-15 |
| 1437278942 | Donald C Clark | Chiropractor | 4660 Slater Rd Ste 140, Eagan, MN 55122-4049 | 2007-03-28 |
| 1083773931 | Donald Wayne Clark | Family Medicine | 801 Vassar Ne, Albuquerque Indian Health Center, Albuquerque, NM 87106 | 2006-12-06 |
| 1386669570 | Donald Godfrey Clark | Internal Medicine | 29521 Ford Rd, Garden City, MI 48135 | 2006-07-12 |
| 1487635132 | Donald L Clark | Psychologist | 428 Coffey Knob Rd, Boone, NC 28607-6608 | 2005-11-09 |
| 1366090573 | Donald Lee Clark IIi | Nurse Practitioner | 2100 Madison Ave, Granite City, IL 62040-4713 | 2019-08-30 |
| 1023588423 | Donald James Clark | Counselor | 100 New Salem Rd Ste 116, Uniontown, PA 15401-8936 | 2018-11-28 |
| 1447659701 | Donald Clark | Pharmacist | 6725 Dick Flynn Blvd, Goshen, OH 45122-8025 | 2014-08-22 |
| 1891102810 | Donald Keith Clark | Case Manager/Care Coordinator | 1351 Newtown Pike, Lexington, KY 40511-1275 | 2014-07-22 |
| Street Address |
2305 RUSSELLVILLE RD |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42101-3920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770595407 | Cjlm, Inc. | Durable Medical Equipment & Medical Supplies | 2305 Russellville Rd, Bowling Green, KY 42101-3920 | 2006-08-12 |
| 1194222406 | Cjlm Inc | Pharmacy | 2305 Russellville Rd, Bowling Green, KY 42101-3920 | 2018-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608827 | Heidi Denise Estes | Nurse Practitioner | 651 U.S. 31 W Bypass Ste 106, Bowling Green, KY 42101 | 2020-10-29 |
| 1205476561 | Emily Nell Conner | Pharmacist | 350 West Us 31 Bypass, Bowling Green, KY 42101 | 2020-01-14 |
| 1598304180 | Elizabeth Page Appling | Nurse Practitioner | 1681 Normal Dr., Bowling Green, KY 42101 | 2019-12-30 |
| 1598306227 | Heather Wells | Nurse Practitioner | 427 U.S. 31w Bypass, Bowling Green, KY 42101 | 2019-10-03 |
| 1275182255 | The Kidz Club-pdn, LLC | Nursing Care | 1537 Highway 185, Suite 3, Bowling Green, KY 42101 | 2019-09-11 |
| 1841756525 | Balance Therapeutic Care, Counseling Services LLC | Counselor | 661 A, 31-w Bypass, Bowling Green, KY 42101 | 2019-02-18 |
| 1184104895 | Paige Spear | Specialist | 661 Us 31w Byp Ste C, Bowling Green, KY 42101 | 2018-08-21 |
| 1205364411 | Amanda Katherin Walden | Dentist | 725 A Kenton Street, Bowling Green, KY 42101 | 2017-06-01 |
| 1932632098 | Tj & L Consulting, LLC | In Home Supportive Care | 661 Us 31w By-pass, Suite G, Bowling Green, KY 42101 | 2017-04-06 |
| 1265974117 | Kentucky Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1473 Kentucky Street, Bowling Green, KY 42101 | 2016-11-09 |
| Find all providers in zip 42101 | ||||
| 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 |
|---|---|---|---|---|
| 1962003491 | Devin Ashley Inbody | Pharmacist | 131 W Gypsy Lane Rd, Bowling Green, OH 43402-4503 | 2020-11-02 |
| 1356968200 | Gary Mcguffey | Pharmacist | 4863 Scottsville Rd Ste A, Bowling Green, KY 42104-7949 | 2020-06-26 |
| 1205476561 | Emily Nell Conner | Pharmacist | 350 West Us 31 Bypass, Bowling Green, KY 42101 | 2020-01-14 |
| 1730738055 | Mostafa Moarefian | Pharmacist | 104 West Broaddus Avenue, Bowling Green, VA 22427-1157 | 2019-09-09 |
| 1316592017 | Danielle Urbaniak | Pharmacist | 722-740 South Main St, Bowling Green, OH 43402 | 2019-08-08 |
| 1801355615 | Sonia Ann Brujic | Pharmacist | 970 W Wooster St Rm 121, Bowling Green, OH 43402-2651 | 2019-03-19 |
| 1346711603 | Michelle Kirsten Conely | Pharmacist | 11093 Sw Lewis Memorial Dr, Bowling Green, VA 22427-2174 | 2018-12-16 |
| 1598218877 | Karen Deering | Pharmacist | 3715 Wingfield Church Rd, Bowling Green, KY 42101-8573 | 2016-08-03 |
| 1376901488 | Trung Trinh | Pharmacist | 1530 Campbell Lane, Bowling Green, KY 42104 | 2016-02-03 |
| 1033574637 | Alaa Tlais | Pharmacist | 3028 Hunting Creek Dr, Bowling Green, KY 42104-4620 | 2015-12-23 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 42101 |
Please comment or provide details below to improve the information on MR. DONALD DALE 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.