DR. DEIDRE CLARK (NPI# 1881690832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881690832 |
| Entity Type | Individual |
| Full Name | DR. DEIDRE CLARK |
| Credential | PHARMD, BCPS |
| Practice Address |
3701 Loop Rd Tuscaloosa AL 35404-5015 |
| Mailing Address |
1700 Collier Way Tuscaloosa AL 35405-6104 |
| Practice Telephone | 2055542000 |
| Practice Fax Number | 2055542868 |
| Mailing Telephone | 2057528802 |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
14570 | AL | Pharmacy Service Providers |
| Street Address |
3701 LOOP RD |
| City | TUSCALOOSA |
| State | AL |
| Zip Code | 35404-5015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100089 | John Morris Little | Counselor | 3701 Loop Rd, Tuscaloosa, AL 35404-5015 | 2020-10-02 |
| 1790382927 | Shabrekia Shantelle Neal | Social Worker | 3701 Loop Rd, Tuscaloosa, AL 35404-5015 | 2020-10-01 |
| 1285241455 | Evelyn Jemison | Social Worker | 3701 Loop Rd, Tuscaloosa, AL 35404-5015 | 2020-09-30 |
| 1851908768 | Cierra Silver Ball | Registered Nurse | 3701 Loop Rd, Tuscaloosa, AL 35404-5015 | 2020-09-24 |
| 1952918971 | Sharon Amanda Prestridge | Social Worker | 3701 Loop Rd, Tuscaloosa, AL 35404-5015 | 2020-09-24 |
| 1972119022 | Lashaunda Renae Lark-darien | Social Worker | 3701 Loop Rd, Tuscaloosa, AL 35404-5015 | 2020-09-23 |
| 1598371676 | Toi Lynn Gordon | Social Worker | 3701 Loop Rd, Tuscaloosa, AL 35404-5015 | 2020-09-23 |
| 1629684824 | Jasmine Ruffin Colvin | Social Worker | 3701 Loop Rd, Tuscaloosa, AL 35404-5015 | 2020-09-22 |
| 1396351169 | Lameka Lashae Hunter | Social Worker | 3701 Loop Rd, Tuscaloosa, AL 35404-5015 | 2020-09-17 |
| 1275143893 | Hali Day Swanson | Pharmacist | 3701 Loop Rd, Tuscaloosa, AL 35404-5015 | 2020-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942774146 | Dch Encore Rehabilitation, LLC | Clinic/Center | 1050 Ruby Tyler Parkwasy, Tuscaloosa, AL 35404 | 2019-01-22 |
| 1629465422 | Emily Dykes | Dietitian, Registered | 1000 13th St E Sted, Tuscaloosa, AL 35404 | 2015-04-20 |
| 1780075077 | Lesley Handjis | Nurse Practitioner | 1100 Ruby Tyler Parkway, Tuscaloosa, AL 35404 | 2015-02-09 |
| 1790128825 | Ryan Carl Morrison | Dentist | 1701 Mcfarland Blvd E Ste 122, Tuscaloosa, AL 35404 | 2013-04-08 |
| 1962745000 | Jay William Holliday | Kinesiotherapist | 3707 Loop Rd., Tuscaloosa Va Medical Center, Tuscaloosa, AL 35404 | 2013-03-27 |
| 1538305719 | John Phillip Long | Dentist | 1600 University Blvd E, Tuscaloosa, AL 35404 | 2008-12-18 |
| 1841441656 | Payless Optical Outlets, Inc | Technician/Technologist | 622 15th Street E., Tuscaloosa, AL 35404 | 2008-10-10 |
| 1346408291 | William Heflin Barton IIi | Emergency Medicine | 1718 Veterans Memorial Parkway, Tuscaloosa, AL 35404 | 2008-05-28 |
| 1629245931 | Louis T Payne | Obstetrics & Gynecology | 535 Jack Warner Parkway Ne, Suite I, Tuscaloosa, AL 35404 | 2008-05-15 |
| 1780746719 | Tuscaloosa Medical Associates | Internal Medicine | 1120 Ruby Tyler Parkway, Tuscaloosa, AL 35404 | 2006-12-15 |
| Find all providers in zip 35404 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043628043 | Nathan Andrew Pinner | Pharmacist | University Medical Ctr, Box # 870374, Tuscaloosa, AL 35487-0001 | 2014-07-23 |
| 1184831562 | Thomas Lionel Rogers II | Pharmacist | 809 University Blvd E, Tuscaloosa, AL 35401-2029 | 2007-05-16 |
| 1871682187 | Dana Gail Carroll | Pharmacist | 850 5th Ave E, Tuscaloosa, AL 35401-7419 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346850914 | James Edwin Underwood Jr. | Pharmacist | 411 Cahaba River Est, Hoover, AL 35244-4431 | 2020-08-07 |
| 1730540402 | Machelle C. Stiles | Pharmacist | 225 Wildflower Ct, Huntsville, AL 35811-8008 | 2016-03-09 |
| 1679981534 | Wesley Lindsey | Pharmacist | 1330 Walker Building, Auburn, AL 36849-0001 | 2014-07-23 |
| 1043628035 | Bernie Ralph Olin IIi | Pharmacist | 362 W Thach Concourse, 1323 Walker Building, Auburn, AL 36849-0001 | 2014-07-23 |
| 1487061644 | Anna Dennis Solomon | Pharmacist | 1315 Walker Building, Harrison School of Pharmacy, Auburn, AL 36849-0001 | 2014-07-18 |
| 1780091199 | Amber Martin Hutchison | Pharmacist | 4201f Walker Building, Auburn University, AL 36849-0001 | 2014-07-17 |
| 1699181511 | Phillip Henry Lee | Pharmacist | 4201a Walker Building, Auburn, AL 36849-0001 | 2014-07-11 |
| 1528471612 | Margaret Williamson | Pharmacist | 1202 A Walker Building, Auburn University, AL 36849-0001 | 2014-06-05 |
| 1821393554 | Larry Finn | Pharmacist | 91 Mt Laurel Ave, Birmingham, AL 35242-1800 | 2011-01-11 |
| 1124236567 | Lesley Bradford Barry | Pharmacist | 4465 Park Blvd, Montgomery, AL 36116-1635 | 2007-05-18 |
| Find all providers with the same taxonomy | ||||
| City | TUSCALOOSA |
| Zip Code | 35404 |
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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.