RONALD HAVIS CLARK (NPI# 1992090484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992090484 |
| Entity Type | Individual |
| Full Name | RONALD HAVIS CLARK |
| Credential | R.PH. |
| Practice Address |
4405 Winterberry Ln San Angelo TX 76904-4530 |
| Mailing Address |
2625 Southland Blvd Apt 19 San Angelo TX 76904-7549 |
| Practice Telephone | 8307088648 |
| Mailing Telephone | 8307088648 |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2011-09-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 0202011257 | VA | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 19993 | TX | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003936824 | Ronald Earl Clark | Counselor | 3846 E Dartmouth St, Mesa, AZ 85205-6104 | 2007-03-29 |
| 1639210495 | Ronald E Clark | Dentist | 109 Kings Hwy W, Haddonfield, NJ 08033-2127 | 2007-02-12 |
| 1588762801 | Ronald Frederick Clark | Chiropractor | 5 Newington Road, West Hartford, CT 06110-2310 | 2006-09-20 |
| 1780088815 | Ronald Joseph Clark | Behavioral Analyst | 444 S 44th St, Omaha, NE 68131-3727 | 2014-10-17 |
| 1467723668 | Ronald Brandon Clark | Nurse Practitioner | 215 Marion Ave, Mccomb, MS 39648-2705 | 2012-01-19 |
| 1336317114 | Ronald H Clark | Chiropractor | 4917 Poplar Springs Drive, Meridian, MS 39305 | 2008-02-14 |
| 1508908427 | Ronald Austin Clark | Social Worker | 215 Loudoun St Se, Leesburg, VA 20175-3115 | 2007-02-14 |
| 1356400105 | Ronald Craig Clark | Chiropractor | 200 Industrial Blvd, Suite 108, Ellijay, GA 30540-3722 | 2006-12-07 |
| 1477631919 | Ronald A Clark | Surgery | 909 Hyde St, Suite 325, San Francisco, CA 94109-4822 | 2006-11-01 |
| 1972613255 | Ronald Lee Clark | Social Worker | 106 W Utica St, Oswego, NY 13126-3330 | 2006-08-30 |
| Street Address |
4405 WINTERBERRY LN |
| City | SAN ANGELO |
| State | TX |
| Zip Code | 76904-4530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407342702 | Mark Wandal Duncan | Specialist/Technologist | 2237 South Jackson, San Angelo, TX 76904 | 2018-07-10 |
| 1700267259 | Sheila Patterson | Nurse Practitioner | 4251 Sunset Drive, San Angelo, TX 76904 | 2015-06-10 |
| 1346649316 | Mason William Mcclintock | Dentist | 2402 College Hills Blvd. Building 1, Building 1, San Angelo, TX 76904 | 2014-08-15 |
| 1265855712 | Lynn M. Thebo, Lcsw, Pllc | Social Worker | 3109 Southwest Blvd. Ste. B, San Angelo, TX 76904 | 2014-02-03 |
| 1487077459 | Lynn Marie Thebo | Social Worker | 3109 Southwest Blvd., Ste. B, San Angelo, TX 76904 | 2014-01-28 |
| 1558646521 | John Porter Parker Jr. | Pharmacist | 3705 Threewn Trail, San Angelo, TX 76904 | 2011-10-20 |
| 1568772036 | Medical Alliance Group of Texas, LLC | Durable Medical Equipment & Medical Supplies | 2525 S Johnson Ste A, San Angelo, TX 76904 | 2010-10-18 |
| 1578796710 | Jennifer L White | Physical Therapist | 2237 S. Jackson, San Angelo, TX 76904 | 2009-09-03 |
| 1548443203 | Kelly K. Sawyer, D.d.s., P.a. | Dentist | 3013 W. Loop 306, San Angelo, TX 76904 | 2007-12-17 |
| 1023224789 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 1706 Idaho Avenue, San Angelo, TX 76904 | 2007-05-16 |
| Find all providers in zip 76904 | ||||
| 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 |
|---|---|---|---|---|
| 1932749488 | Jonathan Mark Wagner | Pharmacist | 29 S Chadbourne St, San Angelo, TX 76903-5805 | 2020-01-13 |
| 1174061295 | Yujun Rong | Pharmacist | 7101 Appaloosa Trail Apt 116, San Angelo, TX 76901 | 2017-02-09 |
| 1972925295 | Carlos Robledo | Pharmacist | 2626 Smith Blvd, San Angelo, TX 76905-4285 | 2014-01-07 |
| 1932538170 | Elizabeth Murillo | Pharmacist | 2117 N Magdalen St, San Angelo, TX 76903-3042 | 2013-11-07 |
| 1487961769 | John Paul Kinyon | Pharmacist | 3368 Sherwood Way, San Angelo, TX 76901 | 2010-09-08 |
| 1326218785 | Robert Earl Roe | Pharmacist | 3334 Loop 306, San Angelo, TX 76904-5941 | 2008-03-01 |
| 1285855338 | Marty Daniel | Pharmacist | 3520 Knickerbocker Road Suite A, San Angelo, TX 76904 | 2007-05-02 |
| 1831221514 | Robert Duane Rotschafer I | Pharmacist | 3618 High Meadow Dr, San Angelo, TX 76904-5964 | 2007-03-09 |
| 1962554592 | South Carolina Erica, Inc | Pharmacist | 1926 N Bryant Blvd, San Angelo, TX 76903-3744 | 2007-01-16 |
| 1164590048 | George E Jones Jr. | Pharmacist | 271 Fort Richardson Avenue, San Angelo, TX 76908 | 2006-12-01 |
| Find all providers in SAN ANGELO | ||||
| City | SAN ANGELO |
| Zip Code | 76904 |
Please comment or provide details below to improve the information on RONALD HAVIS 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.