MR. ROSS WILLIAM CLARK


Address: 7025 N Wickham Rd, Suite 113, Melbourne, LA 32940
Phone: 3212533535

MR. ROSS WILLIAM CLARK (NPI# 1871653766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871653766
Entity Type Individual
Full Name MR. ROSS WILLIAM CLARK
Credential RPH
Practice Address 7025 N Wickham Rd
Suite 113
Melbourne
LA 32940
Mailing Address 1697a Hwy A.1.a.
Satellite Beach
LA 32937
Practice Telephone 3212533535
Mailing Telephone 3219177323
Enumeration Date 2006-12-11
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist PS0025442 FL Pharmacy Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL PHARMACY LICENSE PS0025442 01

Other Providers ROSS CLARK

NPI Name Taxonomy Address Enumeration
1790200087 Ross Jameson Clark Registered Nurse 2738 N Decatur Rd, Decatur, GA 30033-5910 2017-08-08
1104355692 Ross W Clark Physician Assistant 700 S Park St, Madison, WI 53715-1830 2017-06-08
1821387895 Ross Clark Surgery 2211 Lomas Blvd Ne, Albuquerque, NM 87106 2011-03-30
1821311036 Ross Nevin Clark Otolaryngology 5210 Linton Blvd, Suite 307, Delray Beach, FL 33484-6542 2010-03-03
1700017571 Ross Myracle Clark Chiropractor 1307 W Reelfoot Ave, Union City, TN 38261-5505 2009-07-28

Office Location

Street Address 7025 N WICKHAM RD
SUITE 113
City MELBOURNE
State LA
Zip Code 32940

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417028580 Diane H Todd Physical Therapist 7025 N Wickham Rd, Suite 111, Melbourne, FL 32940-7534 2006-11-12
1093095267 Maria R Escobedo Pharmacy Technician 7025 N Wickham Rd, Suite 112, Melbourne, FL 32940-7534 2011-08-19
1093975468 Delores A Hawk Respiratory Therapist, Certified 7025 N Wickham Rd, Suite 112, Melbourne, FL 32940-7534 2008-06-10
1013121227 Lisa G Lester Respiratory Therapist, Certified 7025 N Wickham Rd, Suite 112, Melbourne, FL 32940-7534 2007-05-09
1003965765 Diahn L Clark Pharmacist 7025 N Wickham Rd, Suite 113b, Melbourne, FL 32940-7534 2007-01-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700403649 True Motion Physical Therapy and Wellness Clinic/Center 3536 Peninsula Circle, Mlebourne, FL 32940 2020-06-26
1568089431 Live Gracefully Physio and Wellness, Pllc Clinic/Center 6470 Shadow Creek Trail, Apt 5204, Melbourne, FL 32940 2020-06-26
1295360592 Hiteshi Patel Pharmacist 3134 Hummingbird Way, Melbourne, FL 32940 2020-03-06
1972133122 Curtis Lynn Curbo Social Worker 3830 Fringetree Lane, Melbourne, FL 32940 2020-01-16
1861038283 Medfast Urgent Care Centers, LLC Clinic/Center 5500 Stadium Parkway, Melbourne, FL 32940 2019-11-20
1134601594 Caroline Grace Bennett Behavior Technician 5500 Murrell Rd Suite 100, Melbourne, FL 32940 2018-09-02
1730682642 Centennial Medical Group Family Medicine 1341 Bedford Drive, Melbourne, FL 32940 2018-03-16
1356849251 Executive Non-emergency Transportation, Inc. Non-emergency Medical Transport (VAN) 3155-02 Suntree Blvd, Melbourne, FL 32940 2018-01-25
1679081160 Brevard Oaks Center, LLC Skilled Nursing Facility 2355 Vidina Drive, Viera, FL 32940 2018-01-18
1275045817 Comfortable Care Dental Health Professionals. P.a. Dentist 6340 N Wickham Rd Ste 101, Melbourne, FL 32940 2017-11-03
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871105981 Jennifer Elbert Pharmacist 2176 Sarno Rd Ste 120, Melbourne, FL 32935-3086 2020-08-19
1013530419 Ryan Thomas Kammerdener Pharmacist 3003 Bay Wind Ct, Melbourne, FL 32934 2020-05-20
1295360592 Hiteshi Patel Pharmacist 3134 Hummingbird Way, Melbourne, FL 32940 2020-03-06
1932742640 Abby Everett Pharmacist 803 E Main Street, Melbourne, AR 72556 2019-10-25
1659868982 James Mezheritskiy Pharmacist 1278 Tipperary Dr, Melbourne, FL 32940-6028 2018-04-23
1578068128 Michael Alan Donato Pharmacist 4315 Canby Dr, Melbourne, FL 32901-8888 2018-03-27
1083123632 Christina Gendy Pharmacist 1515 Palm Bay Rd Ste 108, Melbourne, FL 32905-3863 2017-09-27
1073058954 Jennifer Mooney Pharmacist 1515 Elizabeth St Ste J, Melbourne, FL 32901-3000 2016-12-30
1174979389 Carlette Norwood-williams Pharmacist 2475 Jen Dr Ste 3, Melbourne, FL 32940-7480 2016-05-05
1447644588 Bianca Knight Pharmacist 8252 Old Tramway Dr, Melbourne, FL 32940-2184 2015-03-26
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Competitor

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City MELBOURNE
Zip Code 32940

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Dataset Information

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.

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