MR. CRAIG LEO CLARK (NPI# 1487609111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487609111 |
| Entity Type | Individual |
| Full Name | MR. CRAIG LEO CLARK |
| Credential | RPH |
| Practice Address |
1946 42nd St Ne Cedar Rapids IA 52402 |
| Practice Telephone | 3193933210 |
| Practice Fax Number | 3193932747 |
| Mailing Telephone | 3193933210 |
| Mailing Fax Number | 3193932747 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 15253 | IA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821227547 | Craig Clark | Specialist/Technologist | Furman University Sports Med, 3300 Poinsett Highway, Greenville, SC 29613-0001 | 2009-07-02 |
| 1427222843 | Craig Alan Clark | Dietitian, Registered | 9301 Sw 92nd Ave, Apt. #a312, Miami, FL 33176-2142 | 2008-04-16 |
| 1538262498 | Craig G Clark | Psychologist | 1800 Fair Oaks Ave Ste A, South Pasadena, CA 91030-4775 | 2006-09-06 |
| 1780165696 | Craig Steven Clark | Counselor | 4027 County Road 25, St Louis Park, MN 55416 | 2018-08-28 |
| 1598163453 | Craig Y Clark | Registered Nurse | 149 Spurwink Rd, Scarborough, ME 04074-8607 | 2014-12-09 |
| 1386971984 | Craig G. Clark | Pharmacist | 4949 W Ray Rd, Chandler, AZ 85226-2064 | 2009-11-03 |
| 1245453034 | Craig William Clark | Marriage & Family Therapist | 100 N Winchester Blvd, Suite 264, Santa Clara, CA 95050-6520 | 2007-04-10 |
| 1497830186 | Craig Raymond Clark | Chiropractor | 3140 Red Hill Ave, #120, Costa Mesa, CA 92626-3400 | 2006-10-25 |
| 1164529186 | Craig Anthony Clark | Psychiatry & Neurology | 30 Burton Hills Blvd, Suite 375, Nashville, TN 37215-6140 | 2006-09-20 |
| 1326057852 | Craig D Clark | Orthopaedic Surgery | 825 Nw Highway 101 Ste A, Lincoln City, OR 97367-3241 | 2006-08-05 |
| Street Address |
1946 42ND ST NE |
| City | CEDAR RAPIDS |
| State | IA |
| Zip Code | 52402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194781799 | Melanie R Millard | Pharmacist | 1946 42nd St Ne, Cedar Rapids, IA 52402 | 2006-04-22 |
| 1952864233 | Clark's Pharmacy, Inc | Pharmacy | 1946 42nd St Ne, Cedar Rapids, IA 52402-3041 | 2019-04-12 |
| 1750723763 | Ryan Christopher Clark | Pharmacist | 1946 42nd St Ne, Cedar Rapids, IA 52402-3041 | 2013-07-19 |
| 1285732503 | Clark's Pharmacy, Inc | Pharmacy | 1946 42nd St Ne, Cedar Rapids, IA 52402-3041 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639790520 | Sara Ann Rausch | Counselor | 1533 1 Ave Se, Cedar Rapids, IA 52402 | 2020-05-01 |
| 1558995589 | Jennifer Christine Hohneke | Nurse Practitioner | St. Luke's Transitional Care Center, 1420 Unitypoint Way, Cedar Rapids, IA 52402 | 2020-02-28 |
| 1073008314 | Benjamin Randall Groth | Optometrist | 576 Boyson Rd Ne Ste 104, Cedar Rapids, IA 52402 | 2018-06-28 |
| 1992228621 | Synona Culbertson | Counselor | 4403 1st Ave Ne, Suite L15, Cedar Rapids, IA 52402 | 2017-07-25 |
| 1083136410 | Compassion North America Home Health Services Corp | Hospice Care, Community Based | 1570 42nd Street Ne, Suite #2a, Cedar Rapids, IA 52402 | 2017-07-07 |
| 1861819732 | Arj Infusion Services, Inc. | Home Infusion | 1847 First Ave Se, Suite 100, Cedar Rapids, IA 52402 | 2014-03-27 |
| 1639475197 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4444 1st Ave Ne Ste 575, Cedar Rapids, IA 52402 | 2011-02-01 |
| 1437452919 | Empowering Families Inc | Early Intervention Provider Agency | 5005 Blairsforest Way, Cedar Rapids, IA 52402 | 2010-12-06 |
| 1184937476 | Jennifer Becker | Counselor | 3745 Center Point Rd Ne Ste A, Cedar Rapids, IA 52402 | 2010-07-15 |
| 1215179817 | William H Fletcher | Hearing Instrument Specialist | 3741 Center Point Rd Ne, Cedar Rapids, IA 52402 | 2009-03-27 |
| Find all providers in zip 52402 | ||||
| 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 |
|---|---|---|---|---|
| 1932708070 | Bethany Vogts | Pharmacist | 1825 29th St Ne Ste E, Cedar Rapids, IA 52402-3452 | 2020-10-20 |
| 1730654641 | Amber R Johnson | Pharmacist | 2811 Cory Ct Sw Apt 7, Cedar Rapids, IA 52404-4030 | 2018-10-06 |
| 1235505405 | Shelly Hewitt | Pharmacist | 717 A Ave Ne Ste 202, Cedar Rapids, IA 52401-1024 | 2015-08-11 |
| 1316334220 | Abby Kathleen Meyer | Pharmacist | 1847 1st Ave Se, Suite 100, Cedar Rapids, IA 52402-5449 | 2015-04-17 |
| 1427473982 | Teresa Marie Mitchell | Pharmacist | 402 10th St Se Ste 700, Cedar Rapids, IA 52403-2459 | 2014-02-20 |
| 1215223300 | Lauren Leigh Jacobi | Pharmacist | 3400 Edgewood Road Sw, Cedar Rapids, IA 52404 | 2011-06-27 |
| 1790008829 | Lynn Denise Kellogg | Pharmacist | 180 Collins Rd Ne, Cedar Rapids, IA 52402-3229 | 2010-03-03 |
| 1649445552 | Christopher P Tuetken | Pharmacist | 207 2nd Ave Se, Cedar Rapids, IA 52401-1238 | 2008-04-23 |
| 1851509194 | Joseph M Wolf | Pharmacist | 2405 Mount Vernon Rd Se, Cedar Rapids, IA 52403-3419 | 2007-05-18 |
| 1477767424 | Robert Alan Jiroutek | Pharmacist | 1520 Sixth St S.w., Cedar Rapids, IA 52404-4700 | 2007-05-09 |
| Find all providers in CEDAR RAPIDS | ||||
| City | CEDAR RAPIDS |
| Zip Code | 52402 |
Please comment or provide details below to improve the information on MR. CRAIG LEO 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.