MR. GARY D CLARK (NPI# 1043514540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043514540 |
| Entity Type | Individual |
| Full Name | MR. GARY D CLARK |
| Credential | R.PH. |
| Practice Address |
2701 S Nc 127 Hwy Hickory NC 28602-9130 |
| Mailing Address |
125 Northfield Rd Statesville NC 28625-9146 |
| Practice Telephone | 8282941644 |
| Mailing Telephone | 7048780665 |
| Mailing Fax Number | 7045002350 |
| Enumeration Date | 2010-12-27 |
| Last Update Date | 2011-03-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 12024 | NC | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548876048 | Gary Lee Clark | In Home Supportive Care | 71312 Woods Ave, Martins Ferry, OH 43935-3104 | 2020-09-20 |
| 1588085302 | Gary Marvin Clark | Pharmacist | 15227 Aurora Cir, Urbandale, IA 50323-2472 | 2013-12-20 |
| 1487855961 | Gary K. Clark | Dentist | 9730 S 700 E Ste 106, Sandy, UT 84070-4503 | 2007-05-30 |
| 1174649172 | Gary Clark | Social Worker | 502 W 143rd St, Suite 3a, New York, NY 10031-6507 | 2007-03-21 |
| 1912022484 | Gary Mike Clark | Marriage & Family Therapist | 8911 3rd Street Rd, Louisville, KY 40272-2501 | 2007-03-20 |
| 1013987759 | Gary Wayne Clark | Family Medicine | 125 Canton Rd Nw, Carrollton, OH 44615-1009 | 2006-01-25 |
| 1609861152 | Gary W Clark | Podiatrist | 166 W 1325 N, Suite 300, Cedar City, UT 84721-7792 | 2005-09-12 |
| 1972140713 | Gary Clark | Behavior Technician | 100 Spenryn Dr, Madison, AL 35758-1890 | 2019-11-27 |
| 1902962939 | Gary Bruce Clark | General Practice | 1790 30th St, Suite 230, Boulder, CO 80301-1022 | 2006-12-27 |
| 1518042274 | Gary C. Clark | Surgery | 7901 Frost St, Sharp Memorial Hospital, San Diego, CA 92123-2701 | 2006-10-25 |
| Street Address |
2701 S NC 127 HWY |
| City | HICKORY |
| State | NC |
| Zip Code | 28602-9130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720182496 | North Carolina Cvs Pharmacy, L.L.C. | Pharmacy | 2701 S Nc 127 Hwy, Hickory, NC 28602-9130 | 2006-09-12 |
| 1528436235 | Eric Addo | Pharmacist | 2701 S Nc 127 Hwy, Hickory, NC 28602-9130 | 2015-09-11 |
| 1003240623 | Jon Howard | Pharmacist | 2701 S Nc 127 Hwy, Hickory, NC 28602-9130 | 2013-08-30 |
| 1760762652 | Courtney La Rae Cole | Pharmacist | 2701 S Nc 127 Hwy, Hickory, NC 28602-9130 | 2011-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063983286 | Ivan Ortega | Health Educator | 810 Fairgrove Church Road Se, Hickory, NC 28602 | 2018-12-16 |
| 1578078895 | Zachary Chad Greer | Physician Assistant | 1927 3rd Ave Ln Se, Hickory, NC 28602 | 2017-12-08 |
| 1952842015 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 2264 Us Highway 70 Se, Hickory, NC 28602 | 2017-03-09 |
| 1013456318 | Juanita Brown | Counselor | 306 4th St Sw, Hickory, NC 28602 | 2017-02-20 |
| 1639616725 | Francisca Blanco | Clinic/Center | 5276 0lde School Dr, Hickory, NC 28602 | 2017-01-26 |
| 1982155263 | Livanta Medical Center | Physician Assistant | 2105 Catawba Valley Blvd Se, Hickory, NC 28602 | 2016-10-20 |
| 1225588817 | Melike Demirozu | Social Worker | 738 4th St. Sw, Hickory, NC 28602 | 2016-10-07 |
| 1528411592 | April Prout | Social Worker | 1053 13th St Se, Hickory, NC 28602 | 2016-07-14 |
| 1457706921 | Maitry Parikh | Dentist | 2535 Us Highway 70 Se Ste 112, Hickory, NC 28602 | 2016-05-03 |
| 1245614510 | Doran Stilwell | Physical Therapy Assistant | 4161 South Fork Avenue, Hickory, NC 28602 | 2015-07-16 |
| Find all providers in zip 28602 | ||||
| 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 |
|---|---|---|---|---|
| 1407485865 | Michelle Kerestes | Pharmacist | 1257 25th Street Pl Se Apt 2109, Hickory, NC 28602-9658 | 2020-04-07 |
| 1285168484 | Cynthia Elliott | Pharmacist | 4298 State Route 408 W, Hickory, KY 42051-9201 | 2017-04-13 |
| 1104201441 | Jessica Knoske | Pharmacist | 1220 Us Highway 321 Nw, Hickory, NC 28601-2206 | 2015-07-28 |
| 1073996831 | Nickolas Kai Jones | Pharmacist | 2700 S Nc Hwy 124, Hickory, NC 28602-9130 | 2015-06-29 |
| 1831593615 | Josephine Lovelace Polhemus | Pharmacist | 12th Avenue Ne, Hickory, NC 28601 | 2014-10-22 |
| 1316371495 | Brian Mayakis | Pharmacist | 1220 Highway 321 Northwest, Hickory, NC 28601 | 2013-08-26 |
| 1689954471 | Georgia Hill | Pharmacist | 2700 Hwy 127 South, Hickory, NC 28602 | 2011-08-24 |
| 1245537307 | Gregory Hale | Pharmacist | 1073 10th Avenue Dr Nw, Hickory, NC 28601-3583 | 2011-02-24 |
| 1598069585 | Barbara Elizabeth Ertle | Pharmacist | 1220 Highwway 321 Northwest, Hickory, NC 28601 | 2011-01-05 |
| 1457655581 | Laura Ford Swink | Pharmacist | 1220 Highway 321 Nw, Hickory, NC 28601 | 2011-01-04 |
| Find all providers in HICKORY | ||||
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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.