DAVID C. CLARK (NPI# 1790957603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790957603 |
| Entity Type | Individual |
| Full Name | DAVID C. CLARK |
| Credential | RPH |
| Practice Address |
1215 Route 31 Macedon NY 14502-9763 |
| Practice Telephone | 3159863440 |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2008-03-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 030639-1 | NY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225388531 | David Clark | Pharmacist | 87 Garner Rd., Cvs 4174, Spartanburg, SC 29303 | 2012-09-13 |
| 1568778793 | David F Clark | Social Worker | 4425 S Jones Blvd, Suite D3, Las Vegas, NV 89103-3370 | 2010-08-25 |
| 1407093065 | David E. Clark | Dietitian, Registered | 4132 Sierra Park Ter, Dayton, OH 45440-3324 | 2009-01-19 |
| 1962668202 | David Allen Clark | Dentist | 4209 Tieton Dr, Suite 102, Yakima, WA 98908-3377 | 2008-08-06 |
| 1548427693 | David Kyle Clark | Dentist | 2120 Bert Kouns Loop Ste D, Shreveport, LA 71118-3351 | 2008-05-16 |
| 1275722365 | David Allan Clark | Counselor | 50196 872nd Rd, Page, NE 68766-5539 | 2007-10-15 |
| 1649488214 | David D Clark | Chiropractor | 2573 N Reading Rd, Denver, PA 17517-9333 | 2007-05-18 |
| 1306059480 | David Roger Clark | Ophthalmology | 2812 Millbrook Ct, Arlington, TX 76012-2116 | 2007-05-07 |
| 1619049327 | David B Clark | Chiropractor | 106 Se 12th St, Oak Grove, MO 64075-9538 | 2006-11-15 |
| 1447333539 | David J Clark | Dentist | 3402 S 38th St, Tacoma, WA 98409-4638 | 2006-10-23 |
| Street Address |
1215 ROUTE 31 |
| City | MACEDON |
| State | NY |
| Zip Code | 14502-9763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770805095 | Caleb Thomas Selby | Pharmacist | 1215 Route 31, Macedon, NY 14502-9763 | 2010-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497315790 | Lindsay K Stadtmiller | Licensed Practical Nurse | 3256 Hemlock Hills Dr, 4, Macedon, NY 14502 | 2019-06-18 |
| 1134603889 | Alexander Thomas Kopicki | Physical Therapist | 1900 Route 21, Suite 12, Macedon, NY 14502 | 2018-09-19 |
| 1811445315 | Diane Liburd-severin | Registered Nurse | 3201 White Pine Ln, Macedon, NY 14502 | 2016-09-14 |
| 1114360021 | Jason A Wargo | Licensed Practical Nurse | 46 W. Main St. Apt. 3, Macedon, NY 14502 | 2013-04-10 |
| 1962795088 | Us Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 621 Smugglers Cove, Macedon, NY 14502 | 2011-05-23 |
| 1023328044 | Danette Smith | Registered Nurse | 3136 Peacock Circle, Macedon, NY 14502 | 2010-10-08 |
| 1184801979 | Village of Macedon | Ambulance | 81 Main St., Macedon, NY 14502 | 2008-01-24 |
| 1043418502 | Michelle Ann Fousse | Massage Therapist | 1215 Mayberry Place, Macedon, NY 14502 | 2007-07-06 |
| 1740497353 | Sharell T Evans | Licensed Practical Nurse | 65 Roadtrail Dr., Pittfords, NY 14502 | 2007-05-16 |
| 1801011366 | Wal-mart Stores, Inc. | Technician/Technologist | 425 Rt 31, Macedon, NY 14502 | 2007-04-17 |
| Find all providers in zip 14502 | ||||
| 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 |
|---|---|---|---|---|
| 1770805095 | Caleb Thomas Selby | Pharmacist | 1215 Route 31, Macedon, NY 14502-9763 | 2010-03-01 |
| 1720300403 | Sze-king Ip | Pharmacist | 425 Route 31, Macedon, NY 14502-9108 | 2010-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619186 | Seta Crilley | Pharmacist | 17 Fishermans Dr, Port Washington, NY 11050-1733 | 2020-11-05 |
| 1528669603 | Caroline Preval | Pharmacist | 3333 New Hyde Park Rd, New Hyde Park, NY 11042-1204 | 2020-11-04 |
| 1275134686 | Chiranjit Kumar Saha | Pharmacist | 6128 Broadway, Woodside, NY 11377-2152 | 2020-11-03 |
| 1437759693 | Anthony So | Pharmacist | 8765 94th St, Woodhaven, NY 11421-2236 | 2020-10-27 |
| 1942809785 | Obaid Zia | Pharmacist | 106 Elm Ln, New Hyde Park, NY 11040-2406 | 2020-10-22 |
| 1235738915 | Vishal Pravinkumar Patel | Pharmacist | 3930 59th St Apt A6, Woodside, NY 11377-3401 | 2020-10-22 |
| 1447859491 | Iman Nagi Yahia | Pharmacist | 182 17th St Apt 2, Brooklyn, NY 11215-5374 | 2020-10-21 |
| 1518566827 | Vinson Eng | Pharmacist | 2629 Ocean Ave, Brooklyn, NY 11229-4552 | 2020-10-19 |
| 1114526324 | Victoria Wong | Pharmacist | 2643 E 18th St, Brooklyn, NY 11235-3625 | 2020-10-19 |
| 1487253803 | Michelle Liao | Pharmacist | 1845 Shore Pkwy, Brooklyn, NY 11214-6628 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
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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.