DR. OLIVIA IRONS CLECKLER (NPI# 1588051825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588051825 |
| Entity Type | Individual |
| Full Name | DR. OLIVIA IRONS CLECKLER |
| Credential | MS, RD, LDN,PHARM.D. |
| Practice Address |
5200 Saddle Brook Rd Oak Ridge NC 27310-9745 |
| Practice Telephone | 6014169360 |
| Mailing Telephone | 6014169360 |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2019-07-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 28832 | NC | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | E-010564 | MS | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | PD12966 | AR | Pharmacy Service Providers |
| Street Address |
5200 SADDLE BROOK RD |
| City | OAK RIDGE |
| State | NC |
| Zip Code | 27310-9745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114569936 | Monarch | Community/Behavioral Health | 5714 Oakhurst Downs Drive, Oak Ridge, NC 27310 | 2019-10-14 |
| 1841629672 | P 3:56 Enterprises, Inc | Pharmacy | 7605-b Nc Hwy 68 N, Suite B, Oak Ridge, NC 27310 | 2013-11-02 |
| 1912293895 | April H Duggins | Pharmacist | 7605 N Hwy 68 N, Suite B, Oak Ridge, NC 27310 | 2011-06-20 |
| 1679867402 | Cynthia T Carter | Pharmacist | 2300 Highway 150, Oak Ridge, NC 27310 | 2011-06-09 |
| 1235460726 | Umabala Pasupala | Internal Medicine | 6815 Koala Drive, Oak Ridge, NC 27310 | 2010-01-22 |
| 1811095466 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2300 Hwy 150, Oak Ridge, NC 27310 | 2006-09-20 |
| 1316972284 | Jennifer Lewis Holland | Physical Therapist | 2205 Oak Ridge Rd (oak Ridge Physical Therapy), Suite Ff, Oak Ridge, NC 27310 | 2006-07-11 |
| 1861937310 | Bridget Renda | Nurse Practitioner | 2300 Highway 150, Oak Ridge, NC 27310 | 2016-12-19 |
| 1801244454 | Dr. Umabala Pasupala, Pllc | Internal Medicine | 6815 Koala Drive, Oak Ridge, NC 27310 | 2016-05-24 |
| 1265837231 | Jonathan Grayson | Pharmacist | 2300 Nc-150, Oak Ridge, NC 27310-0000 | 2014-11-03 |
| Find all providers in zip 27310 | ||||
| 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 |
|---|---|---|---|---|
| 1790269371 | Justin Ko | Pharmacist | 5 N Glen Cir, Oak Ridge, NJ 07438-9583 | 2018-09-20 |
| 1093100406 | Jack Greene | Pharmacist | 10 Radcliff Ter, Oak Ridge, TN 37830-9013 | 2015-04-02 |
| 1518352343 | Tia Mashburn | Pharmacist | 1199 Oak Ridge Tpke, Oak Ridge, TN 37830-6442 | 2015-03-30 |
| 1265837231 | Jonathan Grayson | Pharmacist | 2300 Nc-150, Oak Ridge, NC 27310-0000 | 2014-11-03 |
| 1669877205 | Johnny Letlow | Pharmacist | 534 Webb Hill Rd, Oak Ridge, LA 71264-3033 | 2014-10-24 |
| 1922351154 | Maggie Sue Edmonds | Pharmacist | 151 Dutch St, Oak Ridge, PA 16245 | 2012-10-25 |
| 1538427232 | Karen Andrews Comeford | Pharmacist | 4565 Peeples Rd, Oak Ridge, NC 27310-9763 | 2012-05-01 |
| 1720364615 | Douglas Miller | Pharmacist | 1299 Oak Ridge Turnpike, Oak Ridge, TN 37830 | 2011-10-24 |
| 1912293895 | April H Duggins | Pharmacist | 7605 N Hwy 68 N, Suite B, Oak Ridge, NC 27310 | 2011-06-20 |
| 1679867402 | Cynthia T Carter | Pharmacist | 2300 Highway 150, Oak Ridge, NC 27310 | 2011-06-09 |
| Find all providers in OAK RIDGE | ||||
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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.