DENISE CLARK (NPI# 1508403726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508403726 |
| Entity Type | Individual |
| Full Name | DENISE CLARK |
| Practice Address |
4672 State St Saginaw MI 48603-3805 |
| Practice Telephone | 9899216222 |
| Practice Fax Number | 9899216225 |
| Mailing Telephone | 9899216222 |
| Mailing Fax Number | 9899216225 |
| Enumeration Date | 2019-12-06 |
| Last Update Date | 2019-12-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 53026907 | MI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578990487 | Denise Lorrayne Clark | Registered Nurse | 30818 412th Dr Ne, Arlington, WA 98223 | 2013-10-09 |
| 1801035845 | Denise Clark | Technician, Cardiology | 977 E Howe Rd, Tallmadge, OH 44278-1605 | 2009-02-15 |
| 1326227398 | Denise Maureen Clark | Naturopath | 5330 Manhattan Circle, Suite B, Boulder, CO 80303 | 2007-10-26 |
| 1235122052 | Denise Maureen Clark | Pediatrics | 24690 Bench Ln, Oak Creek, CO 80467-8545 | 2005-08-26 |
| 1922617471 | Denise Monique Clark | Counselor | 1030 Fayetteville Rd Se, Atlanta, GA 30316-2921 | 2020-07-29 |
| 1336777549 | Denise Nogueira Clark | Student in an Organized Health Care Education/Training Program | 2401 W University Ave, Muncie, IN 47303-3428 | 2020-04-01 |
| 1184285454 | Denise Clark | Occupational Therapist | 1101 S Scott Rd, Saint Johns, MI 48879-8044 | 2019-06-26 |
| 1720585896 | Denise Clark | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2018-04-06 |
| 1295172922 | Denise Marie Clark | Occupational Therapist | 30 Northwoods Blvd, Columbus, OH 43235-4716 | 2013-06-04 |
| 1861716789 | Denise Clark | Behavioral Analyst | 200 W Spring St, Marquette, MI 49855-4630 | 2010-03-22 |
| Street Address |
4672 STATE ST |
| City | SAGINAW |
| State | MI |
| Zip Code | 48603-3805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154576635 | Kroger Co of Michigan | Durable Medical Equipment & Medical Supplies | 4672 State St, Saginaw, MI 48603-3805 | 2008-11-25 |
| 1194362970 | Melinda Behm | Pharmacist | 4672 State St, Saginaw, MI 48603-3805 | 2019-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518503952 | Kimberly Michelle Cole | Social Worker | 2823 Pimlico Ln, Saginaw, MI 48603 | 2019-11-20 |
| 1669035895 | Kristine Anna Roberts | Massage Therapist | 3175 Christy Way 8, Saginaw, MI 48603 | 2019-04-14 |
| 1114413069 | Sabrina Shunnarah | Behavioral Analyst | 3267 Schust Road, Apt. 101, Saginaw, MI 48603 | 2018-07-03 |
| 1740708528 | Alexandra Jennette Hengy | Student in an Organized Health Care Education/Training Program | 4287 Harbour Towne Dr Apt. 6, Saginaw, MI 48603 | 2017-08-31 |
| 1003345380 | Karissa Irene Piar | Social Worker | 2100 Hemmeter Rd., Saginaw, MI 48603 | 2017-06-08 |
| 1922537281 | Anita Rick | Behavior Technician | 3949 N. River Road, Freeland, Mi 48623, Freeland, MI 48603 | 2017-06-08 |
| 1417300393 | Saginaw County Community Mental Health Authority | In Home Supportive Care | 3875 Bay Rd., Saginaw, MI 48603 | 2016-07-15 |
| 1992154009 | Tricity Diagnostics, LLC | Physiological Laboratory | 3055 Enterprise Drive, Suite 2, Saginaw, MI 48603 | 2016-06-09 |
| 1659744571 | Janet Lee Smith | Social Worker | 4341 Barnard Rd, Saginaw, MI 48603 | 2015-11-02 |
| 1255656757 | Joseph Edward Chmielewski | Chiropractor | 4266 State St., Saginaw, MI 48603 | 2010-03-29 |
| Find all providers in zip 48603 | ||||
| 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 |
|---|---|---|---|---|
| 1457837015 | Shiva R Peddireddy | Pharmacist | 200 Wj Boaz Rd Ste 100, Saginaw, TX 76179-1290 | 2018-07-17 |
| 1851709547 | Sarah Lynn Klingler | Pharmacist | 5210 Prestwick Ct, M12, Saginaw, MI 48603-7911 | 2014-07-26 |
| 1922356591 | Murali C Ginjupalli | Pharmacist | 2897 Churchhill Ln, Saginaw, MI 48603-2693 | 2012-08-29 |
| 1114273539 | Leo M Dark | Pharmacist | 3177 Setting Sun Blvd, Saginaw, MI 48603-5211 | 2012-08-03 |
| 1881975548 | Lalit Mahajan | Pharmacist | 3424 E Genesee Ave, Saginaw, MI 48601-4211 | 2011-09-07 |
| 1114217924 | James Mark Schlicker | Pharmacist | 1470 Tittabawasse Rd, Saginaw, MI 48601 | 2011-04-13 |
| 1033408562 | Ann Hetzner | Pharmacist | 5050 Gratiot Rd, Saginaw, MI 48638-6030 | 2011-04-05 |
| 1023307717 | Jeffrey Joseph Franson | Pharmacist | 1470 Tittabawassee Rd, Saginaw, MI 48604-1056 | 2011-04-01 |
| 1164721841 | Daniel J Mendyk | Pharmacist | 1510 Delta Dr, Saginaw, MI 48638-4612 | 2011-03-21 |
| 1215269477 | Robert Walter Fillmore | Pharmacist | 5135 Gratiot Rd, Saginaw, MI 48638-6032 | 2010-02-12 |
| Find all providers in SAGINAW | ||||
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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.