GAYLE CLARK (NPI# 1679653570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679653570 |
| Entity Type | Individual |
| Full Name | GAYLE CLARK |
| Practice Address |
815 E 6th Street Tishomingo OK 73460 |
| Mailing Address |
1001 N Country Club Rd Ada OK 74820-2847 |
| Practice Telephone | 5803712392 |
| Practice Fax Number | 5805590610 |
| Mailing Telephone | 5804214570 |
| Mailing Fax Number | 5804216283 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2007-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | 6841 | OK | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | OK LICENSE | 6841 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023173101 | Gayle K Clark | Social Worker | 2511 Oleander Dr, Durham, NC 27703-8188 | 2006-12-27 |
| 1407130123 | Gayle Ann Clark | Social Worker | 940 Belmont St, Brockton, MA 02301-5596 | 2011-09-29 |
| 1154561611 | Gayle Marie Clark | Social Worker | 100 Ledgewood Pl, Suite 202, Rockland, MA 02370-1075 | 2009-02-24 |
| 1629263447 | Gayle Chappell Clark | Pharmacist | 10929 Us Highway 301 S, Suite 111, Statesboro, GA 30458-7774 | 2007-09-14 |
| Street Address |
815 E 6TH STREET |
| City | TISHOMINGO |
| State | OK |
| Zip Code | 73460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881775187 | Emma Mcleod | Pharmacy Technician | 815 E 6th Street, Tishomingo, OK 73460 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912380742 | Lori Pigg | Speech-Language Pathologist | 508 N. Neshoba, Tishomingo, OK 73460 | 2015-06-29 |
| 1407241748 | Brittany Walker | Case Management | 850 E. Highway 22, Tishomingo, OK 73460 | 2015-04-03 |
| 1427460641 | Elizabeth Mcdonald | Counselor | 512 East 24th, Tishomingo, OK 73460 | 2014-05-22 |
| 1619387131 | Sheri Slaughter | Counselor | 102 N. Neshoba, Tishomingo, OK 73460 | 2014-05-06 |
| 1336559848 | Heather Marlatt | Counselor | 102 North Neshoba, Tishomingo, OK 73460 | 2014-05-06 |
| 1811231939 | Wanda Luann Beesley Gray | Emergency Medical Technician, Paramedic | 3100 E St Hwy 78, Tishomingo, OK 73460 | 2012-11-15 |
| 1497014724 | Jessica Kay Johnston | Counselor | Outpatient Services-tishomingo; 817 E. 6th St., Strong Family Development, Tishomingo, OK 73460 | 2012-05-07 |
| 1487910949 | Rhonda Gayle Harrison | Counselor | 817 E. 6th St., Medical Family Therapy, Tishomingo, OK 73460 | 2012-04-09 |
| 1265704183 | Parks Family Dental | Preferred Provider Organization | 1520 E. Main Street, Tishomingo, OK 73460 | 2012-02-08 |
| 1770852295 | Gina Marice Frazier | Social Worker | Outpatient Services- Tishomingo, 817 E. 6th St., Tishomingo, OK 73460 | 2011-12-29 |
| Find all providers in zip 73460 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881775187 | Emma Mcleod | Pharmacy Technician | 815 E 6th Street, Tishomingo, OK 73460 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083223911 | Lindsey Brelynn Pulchny | Pharmacy Technician | 744 S Mississippi Ave Ste A, Atoka, OK 74525-3356 | 2020-07-27 |
| 1396243580 | Linda Joann Falling | Pharmacy Technician | 1500 E Downing St Ste 106, Tahlequah, OK 74464-3354 | 2018-01-23 |
| 1598140816 | Austin Scott Klososky | Pharmacy Technician | 13301 S Pennsylvania Ave, Oklahoma City, OK 73170-5007 | 2015-07-28 |
| 1992184436 | Veronica Lavon Austin | Pharmacy Technician | 6305 Ne 63rd St, Oklahoma City, OK 73141-9681 | 2015-05-28 |
| 1619194453 | Heritage Park Pharmacy, LLC | Pharmacy Technician | 6908 E Reno Ave Ste 101, Midwest City, OK 73110-2120 | 2007-04-20 |
| 1134210016 | Mechelle Lynnette Bentley | Pharmacy Technician | 301 West Grand, Tonis Westside Pharmacy, Ponca City, OK 74601 | 2006-09-27 |
| 1619068426 | Tiffany A Buckley | Pharmacy Technician | 4734 S 252nd West Ave, Sand Springs, OK 74063-4319 | 2006-09-27 |
| 1538260872 | Shaun E Swartz II | Pharmacy Technician | 1603 West 14th, Sulphur, OK 73086 | 2006-09-26 |
| 1679677959 | Anita Lynnette Reynolds | Pharmacy Technician | 116 S Wilson, Vinita, OK 74301 | 2006-09-08 |
| 1285666115 | Rebecca Louise Whatley | Pharmacy Technician | 205 S Park Ln Ste 110, Altus, OK 73521-5733 | 2006-07-07 |
| Find all providers with the same taxonomy | ||||
| City | TISHOMINGO |
| Zip Code | 73460 |
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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.