EDWIN RUSSELLE CLARKE (NPI# 1073850145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073850145 |
| Entity Type | Individual |
| Full Name | EDWIN RUSSELLE CLARKE |
| Credential | RPH |
| Practice Address |
10400 Sw Village Center Dr Port Saint Lucie FL 34987-2186 |
| Practice Telephone | 7723459911 |
| Mailing Telephone | 7723459911 |
| Enumeration Date | 2013-01-09 |
| Last Update Date | 2013-01-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS25443 | FL | Pharmacy Service Providers |
| Street Address |
10400 SW VILLAGE CENTER DR |
| City | PORT SAINT LUCIE |
| State | FL |
| Zip Code | 34987-2186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700060183 | Lorianne Marie Poling | Pharmacist | 10400 Sw Village Center Dr, Port Saint Lucie, FL 34987-2186 | 2007-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093299604 | Karen Cecilia Wong Li James | Registered Nurse | 10024 Sw Glenbrook Drive, Port Saint Lucie, FL 34987 | 2018-09-19 |
| 1134646151 | B & T Diagnostics LLC | Clinical Medical Laboratory | 11350 Sw Village Pkwy Ste 323, Port Saint Lucie, FL 34987 | 2017-08-30 |
| 1538684048 | Transport With Care, LLC | Non-emergency Medical Transport (VAN) | 1850 Sw Our Ct, Port Saint Lucie, FL 34987 | 2017-08-04 |
| 1154859825 | True Path Diagnostics, LLC | Clinical Medical Laboratory | 11350 Sw Village Pkwy Ste 309, Port St Lucie, FL 34987 | 2017-05-25 |
| 1316326515 | Aleksey Alekseyenko | Family Medicine | Mhpg Primary Care @ Tradition Health Park II, 10080 Sw Innovation Way Suite 201, Port St Lucie, FL 34987 | 2015-05-21 |
| 1053658583 | Tameka Argo | Contractor | 7664 Germany Canal Road, Fort Pierce, FL 34987 | 2013-01-03 |
| 1780967976 | Mennette J Colon | Specialist/Technologist, Other | 1970 Sw Glendale St., Port Saint Lucie, FL 34987 | 2011-09-23 |
| 1366416257 | Cynthia A Dolan | Dermatology | 10080 Sw Innovation Way Ste 301, Port St Lucie, FL 34987 | 2006-02-15 |
| 1205829074 | Andres M Reyes | Internal Medicine | 10050 Nw Innovation Way, Suite 102, Port St Lucie, FL 34987 | 2005-08-26 |
| 1720498470 | Josue Limage | Family Medicine | 10080 Sw Innovation Way Ste 201, Port St Lucie, FL 34987 | 2014-05-03 |
| Find all providers in zip 34987 | ||||
| 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 |
|---|---|---|---|---|
| 1356968572 | Renilde C Campos | Pharmacist | 2017 Sw Kasim Ter, Port Saint Lucie, FL 34953-2163 | 2020-07-03 |
| 1295387405 | Margarita R Parrilla | Pharmacist | 2582 Sw Fair Isle Rd, Port Saint Lucie, FL 34987-2092 | 2019-07-09 |
| 1740657071 | Christopher John Antonini | Pharmacist | 107 Se San Fratello, Port Saint Lucie, FL 34984-6648 | 2015-08-21 |
| 1346587490 | Jaclyn Pereda-rubio | Pharmacist | 5473 Ne Saint James Dr, Port Saint Lucie, FL 34983-3444 | 2013-01-09 |
| 1578811212 | Kenny Romuald Aristide | Pharmacist | 10000 Sw Innovation Way, Port Saint Lucie, FL 34987-2111 | 2012-08-28 |
| 1306129861 | Sharon Jefferson Butts | Pharmacist | 1661 Nw St Lucie Blvd, Port Saint Lucie, FL 34986-2106 | 2011-09-21 |
| 1013296110 | Karen Lee Harris | Pharmacist | 11995 Sw Elsinore Dr, Port Saint Lucie, FL 34987-1907 | 2011-08-08 |
| 1275764573 | Patricia M Snyder | Pharmacist | 4232 Sw Earnest St, Port Saint Lucie, FL 34953-6551 | 2009-08-04 |
| 1942489877 | William Campos Sr. | Pharmacist | 10400 S Federal Hwy, Port Saint Lucie, FL 34952-5600 | 2007-10-27 |
| 1619169000 | Mihir Bipinchandra Patel | Pharmacist | 2026 Sw Providence Pl, Port Saint Lucie, FL 34953-4385 | 2007-08-09 |
| Find all providers in PORT SAINT LUCIE | ||||
| City | PORT SAINT LUCIE |
| Zip Code | 34987 |
Please comment or provide details below to improve the information on EDWIN RUSSELLE CLARKE.
| 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.