MR. MICHAEL RAY CLARK (NPI# 1417394503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417394503 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL RAY CLARK |
| Credential | RPH |
| Practice Address |
2661 Valleydale Rd Hoover AL 35244-2026 |
| Practice Telephone | 2059950403 |
| Practice Fax Number | 2054087636 |
| Mailing Telephone | 2059950403 |
| Mailing Fax Number | 2054087636 |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2013-05-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 10154 | AL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534227 | Michael Clark | Contractor | 1107 Lavender Shade Court, Houston, TX 77073 | 2020-10-02 |
| 1558858464 | Michael Clark | Optometrist | 990 Medical Dr Ste G3, Brigham City, UT 84302 | 2018-04-16 |
| 1740780006 | Michael Ryan Clark | Pharmacist | 556 Northside Drive, Statesboro, GA 30458 | 2018-02-13 |
| 1942715255 | Michael Clark | Physical Medicine & Rehabilitation | 10600 Riverside Drive, Coral Springs, FL 33071-3307 | 2017-12-08 |
| 1386170348 | Michael Clark | Registered Nurse | 317 E 100 N, Price, UT 84501-2504 | 2017-05-11 |
| 1184163982 | Michael Clark | Specialist/Technologist | 19 Second Ave, Auburn, NY 13021-5113 | 2017-02-14 |
| 1356780837 | Michael Clark | Adult Companion | 8305 Concord Dr, Rowlett, TX 75089-2001 | 2013-06-18 |
| 1407143381 | Michael Jeffery Clark | Orthopaedic Surgery | 5671 Peachtree Dunwoody Ste 700, Atlanta, GA 30342-5047 | 2011-06-29 |
| 1700183993 | Michael Brady Clark | Preventive Medicine | 1400 Mckean Rd, Spring House, PA 19477 | 2011-02-24 |
| 1457663023 | Michael Ahart Clark | Massage Therapist | 2010 Mount Zion Rd, C, Morrow, GA 30260-3314 | 2010-07-11 |
| Street Address |
2661 VALLEYDALE RD |
| City | HOOVER |
| State | AL |
| Zip Code | 35244-2026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720691991 | Husam Jebril | Pharmacist | 5445 Park Side Road, Hoover, AL 35244 | 2020-08-27 |
| 1588272546 | Tyana Thomas | Behavior Technician | 1820 Southpark Dr, Hoover, Al 35244, Hoover, AL 35244 | 2020-07-16 |
| 1912520115 | Magic City Physical Therapy | Home Health | 1217 Willow Leaf Circle, Birmingham, AL 35244 | 2020-05-21 |
| 1851941660 | Carehere LLC | Family Medicine | Carehere Clinic- Mercedes Hoover, 130 Riverchase Parkway East, Hoover, AL 35244 | 2019-09-13 |
| 1033690888 | Danielle Waldrep Rich | Speech-Language Pathologist | 605 Russet Lake Drive, Hoover, AL 35244 | 2018-08-28 |
| 1699253559 | Lauren M Martinez | Social Worker | 2524 Valleydale Rd. Suite 100, Birmingham, AL 35244 | 2018-08-02 |
| 1982110284 | Regenerative Medical Institute for Pain & Neuropathy, LLC | Plastic Surgery | 1849 Data Dr Ste 1, Hoover, AL 35244 | 2017-12-21 |
| 1891217014 | Kristen Michelle Woods | Counselor | 3825 Lorna Rd Ste 240, Birmingham, AL 35244 | 2017-07-10 |
| 1255868170 | Home Sweet Home Senior Care | Home Health | 1 Chase Corporate Drive, Suite 400, Birmingham, AL 35244 | 2017-05-23 |
| 1801347455 | Megan Sarah St John | Nurse Practitioner | 2321 Alabama Highway 150, Birmingham, AL 35244 | 2016-10-19 |
| Find all providers in zip 35244 | ||||
| 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 |
|---|---|---|---|---|
| 1720691991 | Husam Jebril | Pharmacist | 5445 Park Side Road, Hoover, AL 35244 | 2020-08-27 |
| 1093293813 | Deanna Minard | Pharmacist | 1029 Country Club Cir, Hoover, AL 35244-1483 | 2018-08-02 |
| 1831586890 | Michelle Otwell | Pharmacist | 1810 Summerchase Dr, Hoover, AL 35244-2843 | 2015-04-16 |
| 1174939136 | Katie Mcintyre | Pharmacist | 3325 Burning Tree Dr, Hoover, AL 35226-2643 | 2014-07-10 |
| 1356751093 | Leslie Fry | Pharmacist | 719 Crowne Reserve Dr, Hoover, AL 35244-7044 | 2014-05-02 |
| 1275953176 | Joseph Hunt | Pharmacist | 2041 Lakemoor Dr, Hoover, AL 35244-1413 | 2014-04-18 |
| 1073956884 | Priscilla Curtis | Pharmacist | 1152 Countess Cir, Hoover, AL 35226-2932 | 2013-04-10 |
| 1861735151 | Darryl Robby Seay | Pharmacist | 5302 Cottage Ln, Hoover, AL 35226-5049 | 2013-04-04 |
| 1679810576 | Shawn Doerner Karr | Pharmacist | 1944 Montgomery Hwy S, Hoover, AL 35244-1141 | 2013-01-11 |
| 1437496825 | Lauren Hill Ward | Pharmacist | 1722 Lake Cyrus Club Dr, Hoover, AL 35244-4182 | 2013-01-06 |
| Find all providers in HOOVER | ||||
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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.