CLARK STILLAHN (NPI# 1962764993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962764993 |
| Entity Type | Individual |
| Full Name | CLARK STILLAHN |
| Practice Address |
533 S Lincoln Ave York NE 68467-4211 |
| Practice Telephone | 4023621280 |
| Practice Fax Number | 4023621355 |
| Mailing Telephone | 4023621280 |
| Mailing Fax Number | 4023621355 |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2012-06-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 10736 | NE | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | NEBRASKA STATE LICENSE 10736 | 10736 | 01 |
| Street Address |
533 S LINCOLN AVE |
| City | YORK |
| State | NE |
| Zip Code | 68467-4211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346431285 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 533 S Lincoln Ave, York, NE 68467-4211 | 2007-08-06 |
| 1609145556 | David Dyer | Pharmacist | 533 S Lincoln Ave, York, NE 68467-4211 | 2011-12-21 |
| 1528344280 | Walgreens Pharmacy | Point of Service | 533 S Lincoln Ave, York, NE 68467-4211 | 2011-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174174486 | Isolde Olmsted | Technician | 1311 N. Florida Ave., York, NE 68467 | 2019-09-27 |
| 1568937688 | Patricia Rene Vincent | Licensed Practical Nurse | 1715 N Delaware Ave, York, NE 68467 | 2018-10-04 |
| 1760980494 | Avery Michelle Schneider | Physical Medicine & Rehabilitation | 2222 Lincoln Ave., York, NE 68467 | 2018-01-29 |
| 1689932055 | David S. Wieting | Dentist | 122 West 6th Street, York, NE 68467 | 2012-04-24 |
| 1306033626 | Assisted Living Concepts Inc | Assisted Living Facility | 1810 East 12th Street, York, NE 68467 | 2007-10-01 |
| 1235284043 | Harold Eugene Rosenau | Dentist | 408 Platte Ave, Suite B, York, NE 68467 | 2007-01-24 |
| 1912057662 | Renee L Duffek | Counselor | 202 E 5th, York, NE 68467 | 2007-01-12 |
| 1457422123 | Rebecca Rose Green | Counselor | 722 So Lincoln Ave, Suite 1, York, NE 68467 | 2006-11-13 |
| 1639249220 | Laura Ann Cole | Counselor | 1100 Lincoln Av, Suite F, York, NE 68467 | 2006-11-09 |
| 1023194669 | York General Hospital | Skilled Nursing Facility | 2600 N Lincoln Ave, York, NE 68467 | 2006-10-27 |
| Find all providers in zip 68467 | ||||
| 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 |
|---|---|---|---|---|
| 1851991772 | Sobini Kurian Panampunna | Pharmacist | 2801 E Market St Unit 8, York, PA 17402-2416 | 2020-10-29 |
| 1073111670 | Sharad M Vaidya | Pharmacist | 52 Jayme Dr, York, PA 17402-8833 | 2020-10-15 |
| 1982254801 | Erica A Wilson | Pharmacist | 304 St. Charles Way, York, PA 17402-4647 | 2019-09-12 |
| 1407327992 | Tariro Manamike | Pharmacist | Weis Markets Pharmacy, 2400 E Market Street, York, PA 17402 | 2018-12-10 |
| 1295205946 | Andrew John Balberchak | Pharmacist | 2684 Mayfair Ln, York, PA 17408-9065 | 2018-11-26 |
| 1891290573 | Deborah Len Carnes | Pharmacist | 1007 Creekside Medical Dr, York, SC 29745 | 2018-03-26 |
| 1730615857 | Kelli Lynne Kauffman | Pharmacist | 450 Marion Rd, York, PA 17406-1561 | 2017-05-10 |
| 1689009938 | Michael C Sanders | Pharmacist | 808 S George St, York, PA 17403-3124 | 2013-09-05 |
| 1770916462 | Arthur G Moulin Jr. | Pharmacist | 125 Fieldstone Estates Rd, York, ME 03909-5823 | 2013-08-16 |
| 1720357379 | Michael George Marcus | Pharmacist | 3401 Pebble Ridge Dr, York, PA 17402-4349 | 2011-12-27 |
| Find all providers in YORK | ||||
Please comment or provide details below to improve the information on CLARK STILLAHN.
| 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.