DR. RITA CUNNEEN CLARK (NPI# 1114228772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114228772 |
| Entity Type | Individual |
| Full Name | DR. RITA CUNNEEN CLARK |
| Credential | PHARMD RPH |
| Practice Address |
3801 S Reserve St Missoula MT 59801-7322 |
| Practice Telephone | 4062515415 |
| Practice Fax Number | 4062518663 |
| Mailing Telephone | 4062515415 |
| Mailing Fax Number | 4062518663 |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2010-11-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 3813 | MT | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427479229 | Rita R. Clark | Social Worker | 7375 Woodward, Suite 1010, Detroit, MI 48202 | 2013-12-20 |
| 1508959826 | Rita W. Clark | Psychiatry & Neurology | 335 E 17th St, Brooklyn, NY 11226-5201 | 2006-09-30 |
| 1932599669 | Rita Clark | Case Manager/Care Coordinator | 259 Bill France Blvd, Daytona Beach, FL 32114-1316 | 2015-02-03 |
| 1396936878 | Rita Clark | Social Worker | 3349 N University Dr, Suite 4, Hollywood, FL 33024-9000 | 2007-08-08 |
| 1891914891 | Rita T Clark | Physical Therapy Assistant | 1834 W Wisconsin Ave, Milwaukee, WI 53233-2125 | 2007-04-25 |
| 1992707343 | Rita J Clark | Nurse Practitioner | 8401 Highway 111, Byrdstown, TN 38549-6031 | 2005-08-15 |
| Street Address |
3801 S RESERVE ST |
| City | MISSOULA |
| State | MT |
| Zip Code | 59801-7322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194754119 | Missoula Fresh Market LLC | Pharmacy | 3801 S Reserve St, Missoula, MT 59801-7322 | 2006-07-02 |
| 1306146071 | Chad Handley | Pharmacist | 3801 S Reserve St, Missoula, MT 59801-7322 | 2010-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681010 | Time To Thrive Pllc | Social Worker | 1836 South Ave. West, Missoula, MT 59801 | 2020-08-26 |
| 1740815653 | Yuzo Fujiki | Specialist/Technologist | 210 N California St 104, Missoula, MT 59801 | 2020-03-11 |
| 1407346596 | Stepping Stones Counseling, Pllc | Counselor | 202 Brooks St Ste 300, Missoula, MT 59801 | 2018-05-14 |
| 1437668530 | Rejuve Care Clinic, Inc | Plastic Surgery | 715 Kensingten, Ste 1, Missoula, Missoula, MT 59801 | 2017-09-21 |
| 1619499555 | Beatrice Elise Powers | Specialist/Technologist | 410 B Stephens Ave, Missoula, MT 59801 | 2017-07-12 |
| 1770012197 | Hannah Lepiane | Massage Therapist | 1313 S. 4th W., Missoula, MT 59801 | 2017-06-08 |
| 1811420227 | Celeste Willis | Social Worker | 1055 W. Sussex, Missoula, MT 59801 | 2017-04-04 |
| 1073050498 | Rina Kasuga | Specialist/Technologist | 913 Rimini Ct, Missoula, MT 59801 | 2017-01-24 |
| 1043756919 | Heather Bartz | Specialist/Technologist | 831 Hastings Ave, Missoula, MT 59801 | 2017-01-16 |
| 1255874517 | Sarabeth Haddad | Social Worker | 1055 W Sussex Ave, Missoula, MT 59801 | 2016-11-18 |
| Find all providers in zip 59801 | ||||
| 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 |
|---|---|---|---|---|
| 1104435916 | Christopher Ludwig | Pharmacist | 4011 Melrose Pl, Missoula, MT 59808-5890 | 2020-07-28 |
| 1053973701 | Alexander Vladimirovich Chinikaylo | Pharmacist | 10878 Peaks Row Ln, Missoula, MT 59808-8478 | 2019-07-02 |
| 1912466202 | Jenner Minto | Pharmacist | University of Montana 317 Skaggs Building, Missoula, MT 59812-0001 | 2019-03-15 |
| 1861873515 | Kylie Rauch | Pharmacist | 1821 South Ave W Ste 101, Missoula, MT 59801-6518 | 2015-06-17 |
| 1164827929 | Charles Ellis | Pharmacist | 534 S 5th St W, Missoula, MT 59801-2618 | 2014-10-22 |
| 1467860353 | Zachary Ueland | Pharmacist | 4000 Highway 93 South, Missoula, MT 59804 | 2014-07-24 |
| 1649600719 | Kimberlee Becker | Pharmacist | 5255 Elk Ridge Rd, Missoula, MT 59802-5227 | 2013-11-26 |
| 1982043956 | Sadie Linford | Pharmacist | 1914 Brooks St, Missoula, MT 59801-6644 | 2013-06-22 |
| 1972870160 | Lee Ann Peterson | Pharmacist | 619 Dixon Ave, Missoula, MT 59801-8623 | 2011-11-16 |
| 1639454127 | Dentyn Dunaway | Pharmacist | 2527 N Reserve Street, Missoula, MT 59808 | 2011-10-15 |
| Find all providers in MISSOULA | ||||
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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.