DR. CLARENCE LEE CLODFELTER III (NPI# 1023550076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023550076 |
| Entity Type | Individual |
| Full Name | DR. CLARENCE LEE CLODFELTER III |
| Other Name | LEE CLODFELTER |
| Credential | PHARM.D. |
| Practice Address |
1840 Tappahannock Blvd Tappahannock VA 22560 |
| Mailing Address |
9440 Ottoway Ct Toano VA 23168-9369 |
| Practice Telephone | 8044434709 |
| Mailing Telephone | 7575931924 |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2016-11-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 0202207903 | VA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811289184 | Clarence Lee Clodfelter Jr. | Pharmacist | 13271 Warwick Blvd, Newport News, VA 23602-6721 | 2011-05-05 |
| Street Address |
1840 TAPPAHANNOCK BLVD |
| City | TAPPAHANNOCK |
| State | VA |
| Zip Code | 22560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154611127 | Kristin M Smith | Pharmacist | 1840 Tappahannock Blvd, Tappahannock, VA 22560 | 2011-04-12 |
| 1417470220 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1840 Tappahannock Blvd, Po Box 1429, Tappahannock, VA 22560 | 2017-07-24 |
| 1134419013 | Kwame Binfo Ennin | Pharmacist | 1840 Tappahannock Blvd, Tappahannock, VA 22560 | 2011-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932668456 | Amy Annette Wilson | Nurse Practitioner | Tappahannock Primary Care, 1362 Tappahannock Blvd, Tappahannock, VA 22560 | 2019-03-14 |
| 1235655259 | Margaret Johnson | Driver | 145 Fernlea Road, Rte 628, Tappahannock, VA 22560 | 2017-08-22 |
| 1326576448 | Vanessa Burns | Specialist/Technologist | 109 Cross Street, Tappahannock, VA 22560 | 2017-06-02 |
| 1043756349 | Katherine Blake Slusser | Health Educator | 807 Wakefield Ave, Tappahannock, VA 22560 | 2017-01-10 |
| 1548716400 | New Century Hospice of Richmond, LLC | Hospice Care, Community Based | 221 Duke Street, Tappahannock, VA 22560 | 2016-08-31 |
| 1831513688 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1396 B Tappahannock Boulevard, Tappahannock, VA 22560 | 2014-02-14 |
| 1487946232 | Essex County Ems | Ambulance | 205 Cross St, Tappahannock, VA 22560 | 2011-05-12 |
| 1790920684 | Tappahannock Rescue Squad, Inc | Ambulance | 303 Duke St, Tappahannock, VA 22560 | 2008-12-08 |
| 1841314440 | Essex Physical Therapy, Inc. | Physical Therapist | 900 South Church Ln, Tappahannock, VA 22560 | 2007-03-19 |
| 1861569634 | Hollis Whitney Wolcott Jr. | Dentist | 523 Daingerfield Street, Tappahannock, VA 22560 | 2006-11-29 |
| Find all providers in zip 22560 | ||||
| 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 |
|---|---|---|---|---|
| 1376075945 | Matthew Somma | Pharmacist | 206 Falls Cir, Tappahannock, VA 22560-5087 | 2017-04-01 |
| 1154611127 | Kristin M Smith | Pharmacist | 1840 Tappahannock Blvd, Tappahannock, VA 22560 | 2011-04-12 |
| 1942801428 | Kelly Stimpson | Pharmacist | 1660 Tappahannock Blvd, Tappahannock, VA 22560-9320 | 2020-11-03 |
| 1538760012 | Sara Campbell Orem | Pharmacist | 1660 Tappahannock Blvd, Tappahannock, VA 22560-9320 | 2020-11-02 |
| 1134419013 | Kwame Binfo Ennin | Pharmacist | 1840 Tappahannock Blvd, Tappahannock, VA 22560 | 2011-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366254 | Mai Ngo | Pharmacist | 3768a Madison Ln, Falls Church, VA 22041-3678 | 2020-11-07 |
| 1619578358 | Mina Ekdawi | Pharmacist | 45735 Smoketree Ter, Sterling, VA 20166-7202 | 2020-11-07 |
| 1427659275 | Zachary Charles Woodley | Pharmacist | 151 Canterbury Ln, Winchester, VA 22603-4320 | 2020-11-06 |
| 1528669439 | Mary Nakbeen | Pharmacist | 41196 Canongate Dr, Leesburg, VA 20175-7072 | 2020-11-06 |
| 1336740174 | Golnaz Rezvani | Pharmacist | 1450 North Point Village Center, Reston, VA 20194 | 2020-11-06 |
| 1396346466 | Carl Nielsen | Pharmacist | 25050 Riding Plz, Chantilly, VA 20152-5925 | 2020-11-05 |
| 1598366460 | Gita Karimianpour | Pharmacist | 1070 Old Trail Dr, Crozet, VA 22932-3341 | 2020-11-05 |
| 1053912923 | Timothy Michael Nixon | Pharmacist | 61 Catoctin Circle, Leesburg, VA 20176 | 2020-11-05 |
| 1750982039 | Smita J Patel | Pharmacist | 43614 Millay Ct., Ashburn, VA 20147 | 2020-11-04 |
| 1669073888 | Chanju Shim | Pharmacist | 21000 Southbank St, Sterling, VA 20165-7242 | 2020-11-04 |
| Find all providers with the same taxonomy | ||||
| City | TAPPAHANNOCK |
| Zip Code | 22560 |
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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.