CLARK JOHN BENTLEY (NPI# 1265073910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265073910 |
| Entity Type | Individual |
| Full Name | CLARK JOHN BENTLEY |
| Credential | RPH |
| Practice Address |
614 W 2600 S Woods Cross UT 84087 |
| Practice Telephone | 8012992124 |
| Practice Fax Number | 8012991634 |
| Mailing Telephone | 8012982124 |
| Mailing Fax Number | 8012991634 |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2019-10-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 150648 | UT | Pharmacy Service Providers |
| Street Address |
614 W 2600 S |
| City | WOODS CROSS |
| State | UT |
| Zip Code | 84087 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417483561 | Douglas Steed | Registered Nurse | 1766 S 2095 W, Woods Cross, UT 84087 | 2017-05-11 |
| 1093152126 | Afsaneh Akbarian | Pharmacist | 680 W 2600 So, Woods Cross, UT 84087 | 2013-05-30 |
| 1285963777 | Todd A Gardner | Physical Therapy Assistant | 2233 North 830 West, West Bountiful, UT 84087 | 2009-12-14 |
| 1982636445 | America's Best Contacts & Eyeglasses | Eyewear Supplier (Equipment, not the service) | 512 W. 750 South, Woods Cross Shop. Ctr., Woods Cross, UT 84087 | 2006-07-07 |
| 1003855446 | Classic Air Care Inc | Ambulance | 2244 South 1640 West, Woods Cross, UT 84087 | 2006-06-04 |
| 1164469508 | Ryan Larry Jeffs | Marriage & Family Therapist | 592 West 1350 South, Woods Cross, UT 84087 | 2006-06-02 |
| 1629032610 | Total Renal Care Inc | Clinic/Center | 724 W 500 S, Ste 300, West Bountiful, UT 84087 | 2006-04-14 |
| 1619195617 | Jerome Erwin Vance | Psychiatry & Neurology | 592 West 1350 South, Woods Cross, UT 84087 | 2007-04-23 |
| 1598772618 | Benchmark Behavioral Health System Inc | Psychiatric Residential Treatment Facility | 592 West 1350 South, Woods Cross, UT 84087 | 2006-08-02 |
| 1730464959 | Camille Jarman | Midwife, Lay | 1616 N 725 W, West Bountiful, UT 84087-1142 | 2011-10-19 |
| Find all providers in zip 84087 | ||||
| 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 |
|---|---|---|---|---|
| 1811437288 | Lacie Cates | Pharmacist | 738 W 2075 S, Woods Cross, UT 84087-1711 | 2017-03-03 |
| 1376948612 | Andrea Zimowski | Pharmacist | 2576 S Main St, Woods Cross, UT 84010-7738 | 2014-10-29 |
| 1093152126 | Afsaneh Akbarian | Pharmacist | 680 W 2600 So, Woods Cross, UT 84087 | 2013-05-30 |
| 1407467046 | Kyle Northrup Cornish | Pharmacist | 2576 S Highway 89, Woods Cross, UT 84010-7738 | 2020-08-16 |
| 1922407600 | Steven Hepworth Ford | Pharmacist | 680 W 2600 S, Woods Cross, UT 84010-8190 | 2014-08-18 |
| 1730463969 | Kim A Manubay | Pharmacist | 2576 S Highway 89, Woods Cross, UT 84010 | 2011-10-06 |
| 1639451008 | Molly Maloney | Pharmacist | 2576 S Highway 89, Woods Cross, UT 84010-7738 | 2011-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952459 | Deanna Rae Moultrie | Pharmacist | 1268 N 225 W, Centerville, UT 84014-1104 | 2020-11-05 |
| 1659972248 | William Lance Andersen | Pharmacist | 1202 W 12600 W, Riverton, UT 84065 | 2020-11-02 |
| 1487255907 | Todd Shakespeare | Pharmacist | 1330 S Providence, Cedar City, UT 84720 | 2020-11-02 |
| 1245830108 | Chadwick M Smith | Pharmacist | 7494 S 2135 E, Salt Lake City, UT 84121-4970 | 2020-10-29 |
| 1356940209 | Melody Mercedes Padilla | Pharmacist | 325 S Orchard Dr Apt C106, North Salt Lake, UT 84054-1861 | 2020-10-21 |
| 1457965824 | Duy Danny Vo | Pharmacist | 7200 S State St, Midvale, UT 84047 | 2020-09-03 |
| 1568075463 | Brent West | Pharmacist | 19 W Clover Ln, Washington, UT 84780-8208 | 2020-08-28 |
| 1568074318 | Kelli Thorup | Pharmacist | 458 E Emerson Ave, Salt Lake City, UT 84115-1531 | 2020-08-21 |
| 1861003865 | Devin S Jackson | Pharmacist | 1311 E Draper Pkwy, Draper, UT 84020-8567 | 2020-08-12 |
| 1376154435 | James Lindsay Clark | Pharmacist | 201 S 1300 E Ste 101, Salt Lake City, UT 84102-2608 | 2020-08-12 |
| Find all providers with the same taxonomy | ||||
| City | WOODS CROSS |
| Zip Code | 84087 |
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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.