RANDALL LEWIS CLARK (NPI# 1255960415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255960415 |
| Entity Type | Individual |
| Full Name | RANDALL LEWIS CLARK |
| Credential | R. PH. |
| Practice Address |
43 Williamson Rd Ste B Greenville PA 16125-1224 |
| Mailing Address |
386 Fredonia Rd Greenville PA 16125-9755 |
| Practice Telephone | 7243738602 |
| Mailing Telephone | 7243016641 |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2020-04-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP030549L | PA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013336437 | Randall Edward Clark Jr. | Durable Medical Equipment & Medical Supplies | 918 E Southlake Blvd, Southlake, TX 76092-6344 | 2014-04-14 |
| 1598997330 | Randall Clark | Massage Therapist | 13830 58th St N Ste 404, Clearwater, FL 33760-3720 | 2009-08-12 |
| 1891790374 | Randall Clark | Urology | 4325 Sun N Lake Blvd Ste 105, Sebring, FL 33872-2171 | 2005-06-20 |
| 1265873111 | Randall Bruce Clark II | Radiology | 1 Hospital Dr, Columbia, MO 65212-1000 | 2013-07-08 |
| 1063573319 | Randall Norton Clark | Family Medicine | 3299 Clear Vista Ct Ne, Suite C, Grand Rapids, MI 49525-9477 | 2006-12-12 |
| 1447200944 | Randall Clark | Anesthesiology | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2006-05-12 |
| Street Address |
43 WILLIAMSON RD STE B |
| City | GREENVILLE |
| State | PA |
| Zip Code | 16125-1224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356983340 | Heather Christine Groeger | Licensed Vocational Nurse | 9 Greenville Sheakleyville Rd, Greenville, PA 16125 | 2019-10-11 |
| 1710316153 | Federico Pascual Vallesteros | Anesthesiology | 223 Greenville Rd, Greenville, PA 16125 | 2013-11-06 |
| 1083944524 | Kimberly Weaver | Nurse Practitioner | 12 Sherrard Avenue, Greenville, PA 16125 | 2010-01-06 |
| 1992972749 | Jinine Elizabeth Flynn-napotnik | Chiropractor | 5 Orthopedic Center, Greenville, PA 16125 | 2008-05-12 |
| 1073631859 | Russell W Poe | Dentist | 83 Shenango St, Greenville, PA 16125 | 2007-03-27 |
| 1487791042 | Sanda Marina Constantinidi | Pediatrics | 6 Manorview Drive, Greenville, PA 16125 | 2007-01-31 |
| 1811067564 | Stuart D Anderson | Orthopaedic Surgery | Greenville Orthopedic Association, 1 Greenville Orthopedic Center, Greenville, PA 16125 | 2006-11-09 |
| 1598854291 | Susan E Calderbank | Dentist | 43 Clinton St, Greenville, PA 16125 | 2006-10-12 |
| 1437268158 | Robert Michael Woods | Dentist | 282 Main Street, Greenville, PA 16125 | 2006-08-29 |
| 1154397453 | Thomas Z Pineo | Family Medicine | 110 North Main Street, Greenville, PA 16125 | 2006-02-27 |
| Find all providers in zip 16125 | ||||
| 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 |
|---|---|---|---|---|
| 1457963092 | Aericka Oneal | Pharmacist | 101 Greenville Bypass, Greenville, AL 36037 | 2020-08-17 |
| 1558983486 | Matthew Klieforth | Pharmacist | N2345 Weatherhill Ct, Greenville, WI 54942-8070 | 2020-05-14 |
| 1619596160 | Anna K Lee | Pharmacist | 9665 Highway 150, Greenville, IN 47124-9233 | 2020-04-14 |
| 1598320657 | Byeori Kim | Pharmacist | 2953 Beunavista Ct, Greenville, NC 27834-6237 | 2019-05-04 |
| 1528524212 | Taylor Matthew Sanders | Pharmacist | 103 Gilstrap Dr, Greenville, SC 29609-3124 | 2019-02-18 |
| 1407322423 | Doree Richardson | Pharmacist | 200 Patewood Dr Ste B150, Greenville, SC 29615-6339 | 2018-10-17 |
| 1255816070 | Trevis L Cureton | Pharmacist | 2401 East North St, Greenville, SC 29615 | 2018-09-27 |
| 1225537996 | Andrew Brown | Pharmacist | 500 Guilder Ln, Greenville, NC 27858-6580 | 2018-02-07 |
| 1235644030 | Rebecca Ann Knowles | Pharmacist | 4852 Route 81, Greenville, NY 12083 | 2017-12-04 |
| 1366969156 | Nelms Arnold | Pharmacist | 1600 S Colorado St, Greenville, MS 38703-7216 | 2017-08-23 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 16125 |
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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.