ASHLEY T CLARK (NPI# 1639716681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639716681 |
| Entity Type | Individual |
| Full Name | ASHLEY T CLARK |
| Practice Address |
3851 Rosecrans St San Diego CA 92110-3115 |
| Practice Telephone | 6196928033 |
| Mailing Telephone | 6196928033 |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2019-12-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 48823 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902446172 | Ashley N. Clark | Counselor | 809 Bidwell St Apt 311, Folsom, CA 95630-3063 | 2020-01-15 |
| 1154886646 | Ashley Clark | Occupational Therapy Assistant | 846 Old Airport Rd, Bristol, VA 24201-2244 | 2019-02-08 |
| 1588171904 | Ashley Clark | Nurse Practitioner | 2602 Little Hill Cv Apt 310, Oviedo, FL 32765-6657 | 2018-01-08 |
| 1225545619 | Ashley Patricia Clark | Counselor | 297 N Market St, Mount Sterling, OH 43143-9102 | 2018-01-07 |
| 1871956300 | Ashley Clark | Internal Medicine | Kumc Im Residency Program, 3901 Rainbow Blvd, Ms 2027, Kansas City, KS 66160-0001 | 2016-04-01 |
| 1952778755 | Ashley Clark | Pharmacist | 4380 Jefferson Dr, Beech Island, SC 29842 | 2015-08-27 |
| 1861730913 | Ashley Danelle Clark | Occupational Therapist | 2678 E Level Green Rd, Mount Vernon, KY 40456-8554 | 2013-01-24 |
| 1255628590 | Ashley Louise Clark | Pharmacist | 551 National Healthcare Drive, Daytona Beach Va Outpatient Clinic, Daytona Beac, FL 32608-1135 | 2011-07-07 |
| 1639482060 | Ashley N Clark | Physical Therapist | 430 Greenwood Ave, Clarksville, TN 37040-3712 | 2010-07-14 |
| 1891339248 | Ashley Clark | Nurse Practitioner | 4000 Cambridge St, Kansas City, KS 66160-8501 | 2019-10-29 |
| Street Address |
3851 ROSECRANS ST |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92110-3115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639170053 | Stephanie Peck-wheeler | Pharmacist | 3851 Rosecrans St, Ms P-507-j, San Diego, CA 92110-3115 | 2005-08-09 |
| 1801494919 | Jacquelyn Gaynor | Registered Nurse | 3851 Rosecrans St, San Diego, CA 92110-3115 | 2020-10-12 |
| 1780282871 | Soofia Khan | Registered Nurse | 3851 Rosecrans St, San Diego, CA 92110-3115 | 2020-10-12 |
| 1083212336 | Gabriela Maria Miller | Registered Nurse | 3851 Rosecrans St, San Diego, CA 92110-3115 | 2020-10-09 |
| 1770180101 | Nadia Contreras | Counselor | 3851 Rosecrans St, San Diego, CA 92110-3115 | 2020-10-08 |
| 1841897717 | Mary Rebecca Miller | Registered Nurse | 3851 Rosecrans St, San Diego, CA 92110-3115 | 2020-10-05 |
| 1598371684 | Reanna Beshelle Craig | Registered Nurse | 3851 Rosecrans St, San Diego, CA 92110-3115 | 2020-09-23 |
| 1578170635 | Alisa Sathirabarabongse | Registered Nurse | 3851 Rosecrans St, San Diego, CA 92110-3115 | 2020-09-23 |
| 1962018465 | Erik Mantsch | Registered Nurse | 3851 Rosecrans St, San Diego, CA 92110-3115 | 2020-09-20 |
| 1972118248 | Vera Miller | Registered Nurse | 3851 Rosecrans St, San Diego, CA 92110-3115 | 2020-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669021713 | Ruben Daniel Gutierrez | Marriage & Family Therapist | 4141 Pacific Coast Hwy, San Diego, CA 92110 | 2019-09-10 |
| 1548724081 | Denise Ellen Thompson | Counselor | 3255 Wings Street, San Diego, CA 92110 | 2019-01-29 |
| 1801378716 | Michelle Lisa Jean Crawford | Student in an Organized Health Care Education/Training Program | 3767 Central Avenue, San Diego, CA 92110 | 2018-09-06 |
| 1427539048 | Allison Turrell | Case Manager/Care Coordinator | 4930 Naples Street, San Diego, CA 92110 | 2018-08-22 |
| 1750872768 | Matthew Langworthy | Physical Therapist | 3405 Kenyon St Ste 212, San Diego, CA 92110 | 2018-05-24 |
| 1245748342 | The One Health Boutique, LLC | Chiropractor | 5350 Riley St, San Diego, CA 92110 | 2018-01-11 |
| 1437670155 | Monique A Fernandez | Counselor | 3132 Jefferson Street, San Diego, CA 92110 | 2017-07-03 |
| 1538510391 | Mayu Winters | Registered Nurse | 853 Rosecrans St, San Diego, CA 92110 | 2016-06-23 |
| 1376998864 | Briniti Ichull | Specialist | 3941 Kurtz St, San Diego, CA 92110 | 2016-05-03 |
| 1912352576 | Healthcare Services, Inc. | Substance Abuse Rehabilitation Facility | 3880 Rosecrans Street, San Diego, CA 92110 | 2016-05-02 |
| Find all providers in zip 92110 | ||||
| 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 |
|---|---|---|---|---|
| 1518567619 | Tarun Krishna Krothapalli | Pharmacist | 500 S Dr Ee Dunlap St Ste C, San Diego, TX 78384-3212 | 2020-10-28 |
| 1831702943 | Hoa Thi Huynh | Pharmacist | 4631 Mount Longs Dr, San Diego, CA 92117-3047 | 2020-08-28 |
| 1750999371 | Andrea D Nishimoto-macedo | Pharmacist | 8243 Westmore Rd, San Diego, CA 92126-2218 | 2020-07-20 |
| 1275141889 | Amina Duh | Pharmacist | 6405 Mira Mesa Blvd, San Diego, CA 92121-4147 | 2020-07-20 |
| 1891312104 | Rupangi Subhashchandra Patel | Pharmacist | 10892 Caminito Alvarez, San Diego, CA 92126-5808 | 2020-07-02 |
| 1700401403 | Sun-yong Park | Pharmacist | 11251 Paseo Montanoso Apt 153, San Diego, CA 92127-5933 | 2020-06-09 |
| 1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
| 1235760331 | Farah Alaziz | Pharmacist | 4153 University Ave, San Diego, CA 92105-1421 | 2020-01-28 |
| 1356980429 | Patricia Ann Walsh | Pharmacist | 6725 Mesa Ridge Rd Ste 230, San Diego, CA 92121-2925 | 2020-01-06 |
| 1003455262 | Jennifer Wang | Pharmacist | 12037 Mil Pitrero Rd, San Diego, CA 92128-5281 | 2020-01-04 |
| Find all providers in SAN DIEGO | ||||
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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.