ELIZABETH G CLARK (NPI# 1366892549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366892549 |
| Entity Type | Individual |
| Full Name | ELIZABETH G CLARK |
| Practice Address |
77 Mallett Dr Topsham ME 04086-1300 |
| Practice Telephone | 2077290806 |
| Practice Fax Number | 2077258293 |
| Mailing Telephone | 2077290806 |
| Mailing Fax Number | 2077258293 |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2016-09-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PR46176 | ME | Pharmacy Service Providers |
| N | 183700000X | Pharmacy Technician | 188647 | ME | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083192959 | Elizabeth Grace Clark | Physical Therapist | 1010 Monarch St Ste 150, Lexington, KY 40513-1892 | 2018-08-02 |
| 1548755176 | Elizabeth F Clark | Psychologist | 16 Gleasondale Rd, Stow, MA 01775-1465 | 2018-06-26 |
| 1699217927 | Elizabeth Clark | Counselor | 4200 Ridgecrest Cir Ste A-6, Amarillo, TX 79109-5416 | 2016-11-17 |
| 1346604584 | Elizabeth Ann Clark | Nurse Practitioner | 32 Allen Ct, Staten Island, NY 10310-2703 | 2016-04-13 |
| 1356706543 | Elizabeth Clark | Public Health or Welfare | 295 Broadmeadow Cv, Roswell, GA 30075-2950 | 2015-12-15 |
| 1477946770 | Elizabeth Clark | Counselor | 1250 Route 171, Woodstock, CT 06281-2127 | 2015-03-10 |
| 1649674847 | Elizabeth Clark | Nurse Practitioner | 620 19th Street South 5th Floor Spain Wallace P572c, Birmingham, AL 35233-7410 | 2014-10-16 |
| 1851708325 | Elizabeth Clark | Counselor | 52 Oxford St, Somerville, MA 02143-1608 | 2014-07-16 |
| 1932527579 | Elizabeth Anne Clark | Obstetrics & Gynecology | Dept of Ob Gyn Msc 10 5580, 1 University of New Mexico, Albuquerque, NM 87131 | 2014-04-01 |
| 1700187564 | Elizabeth B Clark | Physical Therapist | 155 Siemers Dr Ste 8, Cape Girardeau, MO 63701-4910 | 2010-11-10 |
| Street Address |
77 MALLETT DR |
| City | TOPSHAM |
| State | ME |
| Zip Code | 04086-1300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780999276 | Peter E Ogagan | Pharmacist | 77 Mallett Dr, Topsham, ME 04086-1300 | 2010-08-10 |
| 1679053086 | Andrew Hawkins | Pharmacist | 77 Mallett Dr, Topsham, ME 04086-1300 | 2018-08-15 |
| 1861909178 | Elizabeth Nieuwkerk | Pharmacist | 77 Mallett Dr, Topsham, ME 04086-1300 | 2018-01-08 |
| 1962927293 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 77 Mallett Dr, Topsham, ME 04086-1300 | 2017-08-08 |
| 1225405178 | Bernie Glover | Pharmacist | 77 Mallett Dr, Topsham, ME 04086-1300 | 2015-08-26 |
| 1376910596 | Nicolle Steel | Pharmacist | 77 Mallett Dr, Topsham, ME 04086-1300 | 2015-08-24 |
| 1104209311 | Erika Newman | Pharmacist | 77 Mallett Dr, Topsham, ME 04086-1300 | 2015-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770196040 | Martha Densmore | Registered Nurse | 49 Topsham Fair Mall Rd., Topsham, ME 04086 | 2020-08-26 |
| 1972156727 | Wanho Lew | Dentist | 127 Topsham Fail Mall Rd., Topsham, ME 04086 | 2019-07-22 |
| 1326510595 | Apex Residential Support Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 196 Meadow Cross Rd, Topsham, ME 04086 | 2018-12-27 |
| 1891143681 | Kai N Cheng | Physician Assistant | 105 Topsham Fair Mall Rd Ste 8, Topsham, ME 04086 | 2016-06-02 |
| 1487028775 | Reform Physical Therapy, Inc | Physical Therapist | 439 Lewiston Rd, Topsham, ME 04086 | 2015-11-24 |
| 1457773301 | Kelly Fritz | Physical Therapist | 126 Main St Ste 3, Topsham, ME 04086 | 2014-01-13 |
| 1831493964 | Diane Lamere-wallace | Occupational Therapist | 19 Perkins Avenue, Topsham, ME 04086 | 2011-01-04 |
| 1376702597 | Julia Sullivan Cabral | Social Worker | 63 Elm Street, Ste B, Topsham, ME 04086 | 2008-06-03 |
| 1285830554 | Brian Roger Haney | Internal Medicine | 105 Topsham Fair Mall Rd Unit 1, Topsham, ME 04086 | 2007-06-25 |
| 1003917501 | Nancy A Porr | Nurse Practitioner | 4 Horton Place, Suite 101, Topsham, ME 04086 | 2006-09-26 |
| Find all providers in zip 04086 | ||||
| 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 |
|---|---|---|---|---|
| 1780999276 | Peter E Ogagan | Pharmacist | 77 Mallett Dr, Topsham, ME 04086-1300 | 2010-08-10 |
| 1427659697 | Christine Turner | Pharmacist | 49 Topsham Fair Mall Rd Ste 1, Topsham, ME 04086-1734 | 2020-11-04 |
| 1679053086 | Andrew Hawkins | Pharmacist | 77 Mallett Dr, Topsham, ME 04086-1300 | 2018-08-15 |
| 1861909178 | Elizabeth Nieuwkerk | Pharmacist | 77 Mallett Dr, Topsham, ME 04086-1300 | 2018-01-08 |
| 1356877146 | Julie Minzner | Pharmacist | 49 Topsham Fair Mall Rd, Suite 1, Topsham, ME 04086-1734 | 2017-05-11 |
| 1003365834 | Elizabeth A Hardy | Pharmacist | 125 Topsham Fair Mall Rd, Topsham, ME 04086-1741 | 2016-09-21 |
| 1225405178 | Bernie Glover | Pharmacist | 77 Mallett Dr, Topsham, ME 04086-1300 | 2015-08-26 |
| 1376910596 | Nicolle Steel | Pharmacist | 77 Mallett Dr, Topsham, ME 04086-1300 | 2015-08-24 |
| 1104209311 | Erika Newman | Pharmacist | 77 Mallett Dr, Topsham, ME 04086-1300 | 2015-07-07 |
| 1669758074 | Kendra J Steel | Pharmacist | 49 Topsham Fair Mall Rd Ste 1, Topsham, ME 04086-1734 | 2011-10-30 |
| Find all providers in TOPSHAM | ||||
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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.