LYNN MICHELLE CLARK (NPI# 1346688546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346688546 |
| Entity Type | Individual |
| Full Name | LYNN MICHELLE CLARK |
| Other Name | LYNN CLARK-SHAW |
| Credential | RPH |
| Practice Address |
200 N Carrier Pkwy Suite 112 Grand Prairie TX 75050 |
| Mailing Address |
Po Box 765311 Dallas TX 75376-5311 |
| Practice Telephone | 9729986901 |
| Mailing Telephone | 9729986901 |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2018-07-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 34339 | TX | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326213679 | Lynn Renee Clark | Skilled Nursing Facility | 301 Ridings Avenue, Molalla, OR 97038 | 2008-04-28 |
| 1346461944 | Lynn Marie Clark | Dietitian, Registered | 10500 N. Stratford Place, Mequon, WI 53092-5553 | 2007-05-01 |
| 1649313040 | Lynn W Clark | Speech-Language Pathologist | 3525 Lakewood Dr, Mount Vernon, IN 47620-8943 | 2007-02-15 |
| 1699883512 | Lynn Davis Clark | Counselor | 5505 John Eskew Blvd, Alexandria, LA 71303-3725 | 2006-08-29 |
| 1912296955 | Lynn Forsyth Clark | Registered Nurse | 1525 W Frye Rd, Chandler, AZ 85224-6178 | 2011-03-30 |
| 1033269824 | Lynn Robinson Clark | Dentist | 3310 Franklin Rd Sw, Roanoke, VA 24014-1310 | 2007-01-12 |
| 1972686855 | Lynn Marie Clark | Nurse Practitioner | 1935 Motor St, E05.505.y, Dallas, TX 75235-7701 | 2006-10-23 |
| 1023024940 | Lynn A Clark | Registered Nurse | 11511 Canterwood Blvd Nw, Ste 145, Gig Harbor, WA 98332-5813 | 2006-07-31 |
| Street Address |
200 N CARRIER PKWY SUITE 112 |
| City | GRAND PRAIRIE |
| State | TX |
| Zip Code | 75050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316983893 | Norberto J C Montani | Internal Medicine | 200 N Carrier Pkwy, Ste 109, Grand Prairie, TX 75050 | 2006-06-21 |
| 1871049353 | Csn Healthcare Solutions LLC | Durable Medical Equipment & Medical Supplies | 200 N Carrier Pkwy, Suite 204, Grand Prairie, TX 75050-5476 | 2016-08-25 |
| 1730569872 | Quan Dang Le Md Pa | Physical Medicine & Rehabilitation | 200 N Carrier Pkwy, Ste 101, Grand Prairie, TX 75050-5476 | 2015-06-03 |
| 1043698327 | Crc Compression Solutions LLC | Durable Medical Equipment & Medical Supplies | 200 N Carrier Pkwy, Ste# 200a, Grand Prairie, TX 75050-5476 | 2015-05-07 |
| 1821351958 | Ogp Healthcare, Inc. | Nurse Practitioner | 200 N Carrier Pkwy, Ste 100, Grand Prairie, TX 75050-5476 | 2012-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225539695 | Christopher Bachman | Physical Therapy Assistant | 2045 Hwy 360, #100b, Grand Prarie, TX 75050 | 2018-02-21 |
| 1003335233 | L & B Group Home LLC | In Home Supportive Care | 605 E Palace Pkwy Ste, B4, Grand Prairie, TX 75050 | 2017-09-19 |
| 1073054748 | Smileeasy Dental Grand Prairie, Pllc | Dentist | 2650 S Hwy 161, Grand Prairie, TX 75050 | 2017-03-15 |
| 1164966651 | Prime Diagnostic Imaging of Irving, LLC | Clinic/Center | 2210 Paddock Way, Grand Prairie, TX 75050 | 2016-12-19 |
| 1366801037 | Monica Simpson | Counselor | 2080 N Hwy 360, Ste 430, Grand Prairie, TX 75050 | 2016-02-23 |
| 1437545845 | Stateserv Medical of Texas | Durable Medical Equipment & Medical Supplies | 1000 Post and Paddock Street, #305, Grand Prairie, TX 75050 | 2015-04-13 |
| 1912304593 | Tenishia Chintankwa | Non-emergency Medical Transport (VAN) | 2403 Doreen St, Grand Prairie, TX 75050 | 2014-11-26 |
| 1780023192 | Holland Surgical Group | Physician Assistant | 201 West Tarrant Rd. #1420, Grand Prairie, TX 75050 | 2013-06-19 |
| 1174962823 | Occumed Plus-grand Prairie | General Practice | 805 W. North Carrier Pkwy, 260, Grand Prairie, TX 75050 | 2013-06-17 |
| 1497099618 | Sorai Susanne S Stuart | Counselor | 2825 N. State Hwy 360, 710, Grand Prairie, TX 75050 | 2012-11-15 |
| Find all providers in zip 75050 | ||||
| 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 |
|---|---|---|---|---|
| 1265032841 | Kevin Mukasa | Pharmacist | 2225 W I 20, Grand Prairie, TX 75052-3926 | 2020-10-31 |
| 1225648603 | Kristie Jones | Pharmacist | 2325 W I 20, Grand Prairie, TX 75052-3927 | 2020-07-31 |
| 1992313043 | Minh Ngo | Pharmacist | 3128 Paseo, Grand Prairie, TX 75054-6833 | 2020-07-15 |
| 1609497569 | Christopher Cotton | Pharmacist | 2859 Caminata, Grand Prairie, TX 75054-6757 | 2020-05-01 |
| 1568092542 | Adiseshu Gelli | Pharmacist | 721 W Tarrant Rd Ste 110, Grand Prairie, TX 75050-3445 | 2020-01-18 |
| 1811534993 | Ngoc Quang Dinh | Pharmacist | 2827 Terrosa Rd, Grand Prairie, TX 75054-0075 | 2019-12-07 |
| 1871087460 | Cam Chau Huynh | Pharmacist | 2615 W Pioneer Pwky Suite 139, Grand Prairie, TX 75051 | 2018-06-18 |
| 1386158301 | Andrea Collier Johnson | Pharmacist | 5772 Jillian Way, Grand Prairie, TX 75052-0418 | 2017-11-29 |
| 1629581020 | Olubolanle Afolayan | Pharmacist | 1960 W Tarrant Rd, Grand Prairie, TX 75050-7612 | 2017-11-08 |
| 1518409622 | Quyen Nguyen | Pharmacist | 4935 Soaring Eagle Ct, Grand Prairie, TX 75052-3028 | 2016-11-07 |
| Find all providers in GRAND PRAIRIE | ||||
| City | GRAND PRAIRIE |
| Zip Code | 75050 |
Please comment or provide details below to improve the information on LYNN MICHELLE CLARK.
| 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.