MRS. BRENDA BELDEN CLARK (NPI# 1376050914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376050914 |
| Entity Type | Individual |
| Full Name | MRS. BRENDA BELDEN CLARK |
| Credential | PHARMD |
| Practice Address |
8075 N Shadeland Ave Ste 200 Indianapolis IN 46250-2693 |
| Mailing Address |
12752 Federal Pl Fishers IN 46037-7834 |
| Practice Telephone | 3176218737 |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2018-01-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
26022790A | IN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265083497 | Brenda Clark | Technician | 5824 Catalina Dr, Columbus, GA 31909-4660 | 2019-09-29 |
| 1346592946 | Brenda Flynn Clark | Social Worker | 601n State St, Ukiah, CA 95482-4026 | 2012-10-05 |
| 1346536802 | Brenda J. Clark | Massage Therapist | 19626 Nara Vista Dr, Tomball, TX 77377-3478 | 2011-06-23 |
| 1629373881 | Brenda Jill Clark | Nurse Practitioner | 2312 Ridgeway Ave, Oskaloosa, IA 52577-9109 | 2011-01-20 |
| 1710147798 | Brenda S Clark | Speech-Language Pathologist | 7501 Otoe Pl, Lincoln, NE 68506-3636 | 2008-06-12 |
| 1417979576 | Brenda B Clark | Physician Assistant | 371 Nc Hwy 65, Suite204 Rockingham Co. Dept of Public Health, Wentworth, NC 27375-0204 | 2006-07-24 |
| 1760479661 | Brenda Clark | Nurse Practitioner | 5717 Albemarle Rd, Charlotte, NC 28212-1634 | 2005-10-05 |
| 1881245850 | Brenda B Clark | Registered Nurse | 6565 Fannin St, Houston, TX 77030-2703 | 2019-09-21 |
| 1255820569 | Brenda Clark | Social Worker | 4641 Fulton Dr Nw, Canton, OH 44718-2384 | 2018-05-02 |
| 1508379504 | Brenda M Clark | Registered Nurse | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2017-11-13 |
| Street Address |
8075 N SHADELAND AVE STE 200 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46250-2693 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407882798 | Muhamad Adeeb Safiia | Internal Medicine | 8075 N Shadeland Ave Ste 200, Indianapolis, IN 46250-2693 | 2006-06-25 |
| 1316415136 | Grover Alexander Shelton IIi | Registered Nurse | 8075 N Shadeland Ave Ste 200, Indianapolis, IN 46250 | 2018-11-09 |
| 1124534367 | Abigail Williamson | Nurse Practitioner | 8075 N Shadeland Ave Ste 200, Indianapolis, IN 46250-2693 | 2017-12-26 |
| 1538601174 | Ashley Ponsler | Nurse Practitioner | 8075 N Shadeland Ave Ste 200, Indianapolis, IN 46250-2693 | 2016-11-14 |
| 1639623614 | Megan Eileen Black | Nurse Practitioner | 8075 N Shadeland Ave Ste 200, Indianapolis, IN 46250-2693 | 2016-08-08 |
| 1871987974 | Melissa Meyer | Physician Assistant | 8075 N Shadeland Ave Ste 200, Indianapolis, IN 46250-2693 | 2015-03-26 |
| 1679861900 | Angela Cornelius | Nurse Practitioner | 8075 N Shadeland Ave Ste 200, Indianapolis, IN 46250-2693 | 2011-07-20 |
| 1649581190 | Heather Rae Willett | Physician Assistant | 8075 N Shadeland Ave Ste 200, Indianapolis, IN 46250 | 2010-06-30 |
| 1053325050 | Sasikanth Adigopula | Internal Medicine | 8075 N Shadeland Ave Ste 200, Indianapolis, IN 46250-2693 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861037004 | Angela L Davis | Pharmacist | 8520 Bash St, Indianapolis, IN 46250 | 2019-11-12 |
| 1710455738 | Physicians Wellness Associates LLC | Family Medicine | 4735 Statesmen Drive, Suite C, Indianapolis, IN 46250 | 2018-11-07 |
| 1891222584 | Confidential Drug LLC | Pharmacy | 8520 Bash St Ste D, Indianapolis, IN 46250 | 2017-05-12 |
| 1659813590 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 8257 Center Run Rd, Indianapolis, IN 46250 | 2016-11-09 |
| 1194275669 | Lucina Treatment Center, LLC | Internal Medicine | 8140 Castleton Rd, Indianapolis, IN 46250 | 2016-10-09 |
| 1609126150 | Joseph Lee Deck | Physical Therapist | 7400 Jewel Lane, Indianapolis, IN 46250 | 2012-09-12 |
| 1447508254 | Choices Coordinated Care Solutions, Inc. | Clinic/Center | 7941 Castleway Drive, Indianapolis, IN 46250 | 2012-08-28 |
| 1568719854 | Lynda L. Blackwelder, LLC | Marriage & Family Therapist | 4735 Statesmen Dr., Suite A, Indianapolis, IN 46250 | 2012-08-06 |
| 1972859452 | Courtney B. Cortez | Nurse Practitioner | 12400 N Meridian Ste 100, Suite 500, Indianapolis, IN 46250 | 2012-08-02 |
| 1861761934 | Kb Medical, Inc. | Durable Medical Equipment & Medical Supplies | 8455, Castlewood Drive, Suite J, Idianapolis, IN 46250 | 2011-12-20 |
| Find all providers in zip 46250 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841816766 | Kimberlee Chilcote | Pharmacist | 8275 Allison Pointe Trl Ste 370, Indianapolis, IN 46250-4298 | 2020-06-17 |
| 1700413721 | Damar Pharmacy Services LLC | Pharmacist | 5715 Decatur Blvd, Indianapolis, IN 46241-9561 | 2020-03-27 |
| 1194150490 | Janet Redmond | Pharmacist | 6911 Hillsdale Ct, Indianapolis, IN 46250-2054 | 2013-09-05 |
| 1972878445 | Brittany Chylene Mills | Pharmacist | 9486 Oakley Dr, Indianapolis, IN 46260-1330 | 2012-03-17 |
| 1326312836 | William Xavier Malloy | Pharmacist | 7590 Torbay Cir, Indianapolis, IN 46254-9659 | 2012-03-01 |
| 1932477437 | Megan Fitzgerald Dorrell | Pharmacist | 1701 N Senate Blvd # Ag401, Indianapolis, IN 46202-1239 | 2011-12-12 |
| 1629391404 | Chauntae Reynolds | Pharmacist | 7120 Clearvista Dr Ste 1900, Indianapolis, IN 46256-1569 | 2010-03-08 |
| 1740471465 | Ashley Holland Meredith | Pharmacist | 640 Eskenazi Ave Fl 3bank3, Indianapolis, IN 46202 | 2007-08-07 |
| 1407457047 | Morgan Corbin | Pharmacist | 7979 N Shadeland Ave, Indianapolis, IN 46250-2042 | 2020-11-02 |
| 1538771498 | Morgan Payne | Pharmacist | 1365 E 86th St, Indianapolis, IN 46240-1909 | 2020-08-20 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46250 |
Please comment or provide details below to improve the information on MRS. BRENDA BELDEN 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.