MR. JOHN BRUCE CLARK (NPI# 1932439346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932439346 |
| Entity Type | Individual |
| Full Name | MR. JOHN BRUCE CLARK |
| Credential | RPH |
| Practice Address |
1150 Cambrook Ct Monument CO 80132-8488 |
| Practice Telephone | 7194810021 |
| Mailing Telephone | 7194810021 |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2010-01-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
11322 | CO | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245890672 | John Douglas Clark Jr. | Family Medicine | 54 Meadowbrook Cir, Brevard, NC 28712-8543 | 2019-06-18 |
| 1063072973 | John Riley Clark | Physician Assistant | 2700 Light Rd Apt 102, Oswego, IL 60543-9231 | 2019-06-13 |
| 1871909986 | John Clark | Internal Medicine | 740 Bethlehem Pike, Flourtown, PA 19031-1318 | 2014-07-09 |
| 1831444017 | John Arnot Clark | Dermatology | 1849 Mission Ridge Road, Santa Barbara, CA 93103-1857 | 2012-07-13 |
| 1427327428 | John Jacob Clark | Pharmacist | 1312 Northland Drive, Mendota Heights, MN 55120 | 2011-12-20 |
| 1841580586 | John Alan Clark | Pharmacist | 1900 Argillite Rd, Flatwoods, KY 41139-1616 | 2011-04-14 |
| 1740586932 | John Casey Clark | Occupational Therapist | 448 Lewis Hargett Cir, Suite 100, Lexington, KY 40503-3594 | 2011-02-04 |
| 1023327921 | John M Clark | Social Worker | 3528 Manchester Rd, Wantagh, NY 11793-3010 | 2010-09-27 |
| 1831417922 | John Russell Clark | Speech-Language Pathologist | 7811 Cobden Rd, Laverock, PA 19038-7257 | 2010-05-13 |
| 1518151513 | John M Clark | Physical Therapist | 1202 Se 6th St, Wagoner, OK 74467-6316 | 2007-09-02 |
| Street Address |
1150 CAMBROOK CT |
| City | MONUMENT |
| State | CO |
| Zip Code | 80132-8488 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013247667 | Clark Pharmacy Services, LLC | Health Maintenance Organization | 1150 Cambrook Ct, Monument, CO 80132-8488 | 2010-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407314131 | 100 Percent Chiropractic Rodgers LLC | Chiropractor | 1495 Cipriani Loop, Monument, CO 80132 | 2019-03-12 |
| 1417421025 | Jackson Creek Assisted Living, LLC | Assisted Living Facility | 16601 Jackson Creek Parkway, Monument, CO 80132 | 2019-01-16 |
| 1609357144 | Baptist Road Dental | Dentist | 1036 Baptist Road, Monument, CO 80132 | 2018-08-23 |
| 1609352186 | Mountain Springs Recovery LLC | Substance Abuse Rehabilitation Facility | 1865 Woodmoor Dr, Monument, CO 80132 | 2018-07-17 |
| 1528553070 | Comfort Dental Oral Surgery Colorado Springs LLC | Dentist | 556 W. Hwy 105, Monument, CO 80132 | 2018-06-27 |
| 1265926844 | Lauren Elizabeth Nasuti | Massage Therapist | 17232 Jackson Creek Pkwy, #300, Monument, CO 80132 | 2018-06-18 |
| 1578079224 | Courtney Hopkins | Behavior Technician | 590 Hwy 105 Suite 105, Monument, CO 80132 | 2017-12-18 |
| 1033623475 | Deborah Tebault | Counselor | 220 N. Washington St., Suite F, Monument, CO 80132 | 2017-11-21 |
| 1902347578 | Monument Dentists and Orthodontics, LLP | Dentist | 950 W Baptist Road, Suite 100, Monument, CO 80132 | 2017-03-16 |
| 1972909463 | Timothy P O'connor | Counselor | 3065 Mt. Herman Rd., Monument, CO 80132 | 2014-11-10 |
| Find all providers in zip 80132 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962800128 | Michael Woodley | Pharmacist | 1110 Edenhurst Ct, Monument, CO 80132-8484 | 2014-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285261479 | Jennifer Elizabeth Jackson | Pharmacist | 4675 W 37th Ave Apt 202, Denver, CO 80212-2079 | 2020-03-26 |
| 1427544139 | Douglas Norman Fish | Pharmacist | 6552 Starlight Dr, Morrison, CO 80465-2711 | 2018-07-05 |
| 1508366576 | Converge Health, LLC | Pharmacist | 4410 Orofino Pl, Castle Rock, CO 80108 | 2018-02-16 |
| 1417488776 | Cynthia Love Pursell | Pharmacist | 910 Rush Drive, Salida, CO 81201 | 2017-03-27 |
| 1790237238 | Melissa Linda Hubbard | Pharmacist | 12484 Black Hills Dr, Peyton, CO 80831-4420 | 2016-11-01 |
| 1184015851 | Liban Warsame | Pharmacist | 2797 Wewatta Way Unit 2049, Denver, CO 80216-3644 | 2015-02-16 |
| 1588062277 | Lesley Brooke Liebig | Pharmacist | 1625 E Stuart St Apt E47, Fort Collins, CO 80525-1339 | 2014-12-11 |
| 1609283837 | Lucas Smith | Pharmacist | 403 Us Highway 24 South, Buena Vista, CO 81211 | 2014-07-21 |
| 1457788366 | Marianna Yanashyan | Pharmacist | 2500 S Havana Ave, Aurora, CO 80014 | 2013-10-09 |
| 1134555238 | Michael Hunter | Pharmacist | 8664 Fawnwood Dr, Castle Pines, CO 80108 | 2013-09-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. JOHN BRUCE 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.