DAVID BARRY CLUCK (NPI# 1821363243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821363243 |
Entity Type | Individual |
Full Name | DAVID BARRY CLUCK |
Credential | PHARMD |
Practice Address |
Corner of Lamont Street and Veterans Way Mountain Home TN 37684 |
Mailing Address |
Po Box 70657 Johnson City TN 37614-1701 |
Practice Telephone | 4234396245 |
Enumeration Date | 2012-03-19 |
Last Update Date | 2012-03-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 183500000X | Pharmacist | 18863 | LA | Pharmacy Service Providers |
N | 183500000X | Pharmacist | 21285 | NC | Pharmacy Service Providers |
Y | 183500000X | Pharmacist | 36171 | TN | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326190810 | David S. Cluck | Physical Therapy Assistant | 915 Old Fern Hill Rd, West Chester, PA 19380-4269 | 2007-01-17 |
Street Address |
CORNER OF LAMONT STREET AND VETERANS WAY |
City | MOUNTAIN HOME |
State | TN |
Zip Code | 37684 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316261829 | Beau Whitt | Physical Therapist | Corner of Lamont Street and Veterans Way, Mountain Home, TN 37684 | 2010-03-26 |
1205454923 | Hannah Leigh Oakes | Pharmacist | Corner of Lamont Street and Veterans Way, Mountain Home, TN 37684 | 2020-07-09 |
1609428531 | Margaret Cothern | Pharmacist | Corner of Lamont Street and Veterans Way, Mountain Home, TN 37684 | 2019-07-11 |
1760969489 | Mason Smyth | Registered Nurse | Corner of Lamont Street and Veterans Way, Mountain Home, TN 37684 | 2018-07-25 |
1538420419 | David Robert Shields Jr. | Case Manager/Care Coordinator | Corner of Lamont Street and Veterans Way, Mountain Home, TN 37684-4000 | 2012-06-06 |
1700101037 | Traci Carroll | Psychiatry & Neurology | Corner of Lamont Street and Veterans Way, Mountain Home, TN 37684 | 2010-03-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235730524 | Kendra Lee Thorne | Psychologist | Corner of Lamont St and Veterans Way, Building 160, Mountain Home, TN 37684 | 2020-11-04 |
1255930160 | Maximillian Scott Crockett | Optometrist | James. H Quillen Vamc, Eye Clinic 112e, Mountain Home, TN 37684 | 2020-10-21 |
1699393256 | Joshua Thomas Spencer | Pharmacist | Veterans Way and Lamont St, Mountain Home, TN 37684 | 2020-07-10 |
1073140265 | James Hankil Kim | Student in an Organized Health Care Education/Training Program | Building 52/lake Drive, Mountain Home, TN 37684 | 2020-03-26 |
1932736030 | Trishna Sharma | Student in an Organized Health Care Education/Training Program | Building 52/lake Drive Mountain Home, Johnson City, TN 37684 | 2020-03-26 |
1508421884 | Sarvatit Patel | Student in an Organized Health Care Education/Training Program | 52 Lake Dr, Mountain Home, TN 37684 | 2019-05-02 |
1902366024 | Katelyn Cserjes | Student in an Organized Health Care Education/Training Program | Building 52 Lake Drive Va Medical Center, Mountain Home, TN 37684 | 2019-03-24 |
1114404282 | Anesa Ellen Hughes | Pharmacist | Veterans Way and Lamont St Mountain Home, Mountain Home, TN 37684 | 2018-07-23 |
1508352287 | Leon Nguyen | Optometrist | James H. Quillen Vamc - Lamont St & Veterans Way, Eye Clinic 112e, Mountain Home, TN 37684 | 2018-07-06 |
1649761750 | Bahaaeldin Ibrahim Mahmoud Youssef | Student in an Organized Health Care Education/Training Program | Va Building 1 Carl A Jones Hall, Dogwood Avenue, Mountain Home, TN 37684 | 2018-05-24 |
Find all providers in zip 37684 |
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 |
---|---|---|---|---|
1699393256 | Joshua Thomas Spencer | Pharmacist | Veterans Way and Lamont St, Mountain Home, TN 37684 | 2020-07-10 |
1114404282 | Anesa Ellen Hughes | Pharmacist | Veterans Way and Lamont St Mountain Home, Mountain Home, TN 37684 | 2018-07-23 |
1104160985 | Anne Harris | Pharmacist | 59 Baypoint Ct, Mountain Home, AR 72653 | 2012-11-19 |
1487903068 | Jason Aaron Parsons | Pharmacist | 350 Hwy 62 East, Mountain Home, AR 72653 | 2012-08-29 |
1922383520 | Arnold Patrick Landry | Pharmacist | 350 Highway 62 East, Mountain Home, AR 72653-3629 | 2011-10-14 |
1770867541 | Matthew Alan Paden | Pharmacist | 406 Holly Grove Dr, Mountain Home, AR 72653-4263 | 2011-09-28 |
1205116555 | Vicki Jo Smedley | Pharmacist | Pharmacy Service (119), Building 200, James H Quillen Veterans Administration Medical Center, Mountain Home, TN 37684 | 2011-08-18 |
1104104991 | Shellie Ann Rivers | Pharmacist | 69 Dogwood Avenue, Mountain Home, TN 37684 | 2011-07-27 |
1265728455 | Mckenzie Highsmith | Pharmacist | Maple Ave, Buildling 7, Mountain Home, TN 37684 | 2011-06-26 |
1669765848 | Katelyn Krieger Alexander | Pharmacist | Maple Ave, Bld 7, East Tennessee State University College of Pharmacy, Mountain Home, TN 37684 | 2011-05-23 |
Find all providers in MOUNTAIN HOME |
City | MOUNTAIN HOME |
Zip Code | 37684 |
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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.