DR. WILLIAM CLARK (NPI# 1801324363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801324363 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM CLARK |
| Credential | PHARMD |
| Practice Address |
309 11th St Carrollton KY 41008-1435 |
| Mailing Address |
8006 Deronia Ave Louisville KY 40222-4848 |
| Practice Telephone | 5027323207 |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2017-05-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 018059 | KY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447819677 | William Eugene Clark | Nurse's Aide | 2869 Howey Rd, Columbus, OH 43224-4028 | 2019-06-11 |
| 1528454154 | William Clark | Specialist/Technologist | 8501 Silverbrook Rd, Lorton, VA 22079-3015 | 2015-04-10 |
| 1639575830 | William Clark | Specialist/Technologist | 7 Reef Rd, Anderson, GU 83901 | 2014-11-15 |
| 1730423278 | William Douglas Clark | Mechanotherapist | 1617 Highway 20 W, Mcdonough, GA 30253-7311 | 2012-11-21 |
| 1487950606 | William D Clark | Massage Therapist | 1160 Lucerne Loop Rd Ne, Winter Haven, FL 33881-9681 | 2011-02-04 |
| 1124320692 | William Warren Clark | Recreation Therapist | 2118 Stagecoach Trl, Temple, TX 76502-3224 | 2010-12-03 |
| 1407093875 | William Todd Clark | Specialist/Technologist, Other | 305 Greenbriar Ct, Otisco, IN 47163-9601 | 2009-01-07 |
| 1922244524 | William J Clark | Technician/Technologist | 3984 Drexel Rd, Pittsburgh, PA 15212-1512 | 2009-01-02 |
| 1023274503 | William Dave Clark | Counselor | 1421 Ossahatchie Creek Rd, Ellerslie, GA 31807-5339 | 2008-08-04 |
| 1598938219 | William Little Clark | Orthopaedic Surgery | 5 Retreat Rd, Augusta, GA 30909-1837 | 2008-04-03 |
| Street Address |
309 11TH ST |
| City | CARROLLTON |
| State | KY |
| Zip Code | 41008-1435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447240262 | Daniel A Shields | Emergency Medicine | 309 11th St, Carrollton, KY 41008-1435 | 2005-10-24 |
| 1508411562 | Kimberly Lane Smith | Nurse Practitioner | 309 11th St, Carrollton, KY 41008-1435 | 2019-08-07 |
| 1598227175 | Toni Nicole Wright | Nurse Practitioner | 309 11th St, Carrollton, KY 41008-1435 | 2019-04-03 |
| 1982184925 | Commonwealth Pain Associates Pllc | Durable Medical Equipment & Medical Supplies | 309 11th St, Carrollton, KY 41008-1435 | 2018-08-20 |
| 1629422886 | Amber Adcock | Nurse Practitioner | 309 11th St, Carrollton, KY 41008 | 2016-04-14 |
| 1518339423 | Green Fern Emergency Physicians, LLC | Emergency Medicine | 309 11th St, Carrollton, KY 41008-1435 | 2015-10-30 |
| 1780075911 | Ccmh Corporation | Nurse Practitioner | 309 11th St, Carrollton, KY 41008-1435 | 2015-02-10 |
| 1598107112 | Amanda Davis | Dietitian, Registered | 309 11th St, Carrollton, KY 41008-1435 | 2013-07-24 |
| 1851645501 | Erica A. Chowning | Nurse Practitioner | 309 11th St, Carrollton, KY 41008-1435 | 2012-11-02 |
| 1477804839 | Tawanda Nacole Whidby | Nurse Practitioner | 309 11th St, Carrollton, KY 41008-1435 | 2012-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790233039 | Brett T Gibson | Chiropractor | 2519 Hwy 227 Unit D, Carrollton, KY 41008 | 2016-09-15 |
| 1326382136 | Carroll County Board of Education | Local Education Agency (LEA) | 813 Hawkins St, Carrollton, KY 41008 | 2012-11-16 |
| 1114229234 | Sy Dan Nguyen, Psc | Dentist | 2551 Us Highway 27, Carrollton, KY 41008 | 2010-11-22 |
| 1447300660 | Webster Drugs, Inc. | Pharmacist | Parklane Shopping Center, Carrollton, KY 41008 | 2007-01-11 |
| 1629139522 | Carroll County Medical Advisors Lp | General Acute Care Hospital | 309 11th Street, Carrollton, KY 41008 | 2006-12-13 |
| 1912073719 | Philip V Habas Dmd Psc | Dentist | 1209 Highland Ave, Suite L, Carrollton, KY 41008 | 2006-11-27 |
| 1447320353 | Carrollton Medical Associates | Internal Medicine | 307 Eleventh Street, Carrollton, KY 41008 | 2006-11-08 |
| 1922187475 | Carrollton Surgical Associates LLC | Surgery | 309 Eleventh Street, Carrollton, KY 41008 | 2006-11-03 |
| 1194818609 | The Bethany Circle of Kings Daughters of Madison Indiana Inc | Durable Medical Equipment & Medical Supplies | 205 Marwill Dr, Carrollton, KY 41008 | 2006-10-02 |
| 1093819427 | John Thornton Newcomb | Dentist | 1714 Highland Ave., Carrollton, KY 41008 | 2006-09-07 |
| Find all providers in zip 41008 | ||||
| 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 |
|---|---|---|---|---|
| 1124639455 | Jong Yun Han | Pharmacist | 1913 Diamond Cluster, Carrollton, TX 75010-4519 | 2020-08-11 |
| 1841831781 | Anna Saju | Pharmacist | 1111 W Frankford Rd Ste 104, Carrollton, TX 75007-4921 | 2019-10-02 |
| 1205491677 | Sharon Stoorza Burley | Pharmacist | 2501 E Hebron Pkwy Ste 100a, Carrollton, TX 75010-4468 | 2019-05-01 |
| 1659835320 | Gabriel Gherman | Pharmacist | 1963 Four Notch Rd, Carrollton, GA 30116-5223 | 2019-01-28 |
| 1043709264 | Tracey Lynne Daniels | Pharmacist | 501 Marsh Hawk Trl, Carrollton, VA 23314-3538 | 2018-05-03 |
| 1215477195 | Patrick Vo | Pharmacist | 1725 Flowers Dr, Carrollton, TX 75007 | 2017-02-27 |
| 1902282312 | Julie J Kim | Pharmacist | 3620 Huffines Blvd, Apt. 3126, Carrollton, TX 75010-6446 | 2015-08-07 |
| 1659762987 | Sheena Thomas Kottackal | Pharmacist | 1453 Meadow Vista Dr, Carrollton, TX 75007 | 2015-02-09 |
| 1811396070 | Shiv Patel | Pharmacist | 4465 Young Dr, Carrollton, TX 75010-1145 | 2014-08-13 |
| 1174944052 | Nisha Malhotra | Pharmacist | 1525 Bosque Dr, Carrollton, TX 75010-6428 | 2013-12-19 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 41008 |
Please comment or provide details below to improve the information on DR. WILLIAM CLARK.
| 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.