JEFFREY CLARK (NPI# 1477893477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477893477 |
| Entity Type | Individual |
| Full Name | JEFFREY CLARK |
| Practice Address |
5353 Yellowstone Rd Cheyenne WY 82009-4178 |
| Mailing Address |
5712 Kennedy Dr Cheyenne WY 82001-7422 |
| Practice Telephone | 3075326178 |
| Enumeration Date | 2013-02-27 |
| Last Update Date | 2013-02-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | 1633T | WY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619505914 | Jeffrey Scott Clark | Counselor | 402 E Yakima Ave Ste 800-c, Yakima, WA 98901-5407 | 2020-03-31 |
| 1063805844 | Jeffrey Clark | Specialist/Technologist | 315 Reber Ave, Lancaster, OH 43130-1761 | 2015-03-18 |
| 1134535248 | Jeffrey Clark | Hearing Instrument Specialist | 123 E Mondamin St, Minooka, IL 60447-9896 | 2014-07-09 |
| 1174942353 | Jeffrey Clark | Pediatrics | 9576 Hwy 70, Department of Pediatrics, Minocqua, WI 54548 | 2014-04-15 |
| 1881958767 | Jeffrey Kenneth Clark | Pharmacist | 12850 E Montview Blvd Ste C238, Aurora, CO 80045-2605 | 2012-06-26 |
| 1912285495 | Jeffrey S Clark | Chiropractor | 203 Railroad St Ste 3c, Buda, TX 78610-3437 | 2011-08-01 |
| 1003100934 | Jeffrey Paul Clark | Dentist | 1403 N Loop 336 W, Conroe, TX 77304-3503 | 2011-06-08 |
| 1942520044 | Jeffrey B Clark | Dentist | 2133 Belcourt Avenue, Nashville, TN 37212-3503 | 2010-06-11 |
| 1730405333 | Jeffrey Clark | Pharmacist | 611 N Perry St, Bldg #2, Suite 202, Spokane, WA 99202-5011 | 2010-04-08 |
| 1891989158 | Jeffrey Michael Clark | Dentist | 10429 Lagrima De Oro Rd Ne, Albuquerque, NM 87111 | 2007-08-30 |
| Street Address |
5353 YELLOWSTONE RD |
| City | CHEYENNE |
| State | WY |
| Zip Code | 82009-4178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962635284 | Eric William Bibbey | Pharmacist | 5353 Yellowstone Rd, 309, Cheyenne, WY 82009-4178 | 2009-09-03 |
| 1063045136 | Kenneth Walker | Pharmacy Technician | 5353 Yellowstone Rd, Cheyenne, WY 82009-4178 | 2020-02-18 |
| 1235795964 | Bryan Andrew Watson | Pharmacist | 5353 Yellowstone Rd, Cheyenne, WY 82009-4178 | 2019-05-17 |
| 1932684073 | Anisha A Patel | Pharmacist | 5353 Yellowstone Rd, Cheyenne, WY 82009-4178 | 2018-09-25 |
| 1669957700 | Anna Mishael Shaw | Pharmacist | 5353 Yellowstone Rd, Cheyenne, WY 82009-4178 | 2018-09-25 |
| 1619420973 | Ashley Rampolla | Pharmacist | 5353 Yellowstone Rd, Cheyenne, WY 82009-4178 | 2016-08-03 |
| 1801272851 | Dolores Parr | Pharmacist | 5353 Yellowstone Rd, Cheyenne, WY 82009-4178 | 2015-07-31 |
| 1134535636 | Laurel Peden | Pharmacist | 5353 Yellowstone Rd, Cheyenne, WY 82009-4178 | 2014-07-03 |
| 1538421110 | Department of Veterans Affairs Meds By Mail | Department of Veterans Affairs (VA) Pharmacy | 5353 Yellowstone Rd, Cheyenne, WY 82009-4178 | 2012-06-11 |
| 1457632275 | Gina Minette Brown | Pharmacist | 5353 Yellowstone Rd, Cheyenne, WY 82009-4178 | 2011-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659840841 | King & Associates LLC | Private Vehicle | 2232 Dell Range Blvd 245 #3083 Cheyenne, Cheyenne, WY 82009 | 2018-11-16 |
| 1710495700 | Wyoming Endoscopy Center LLC | Clinic/Center | 7220 Comons Circle, Cheyenne, WY 82009 | 2018-01-12 |
| 1912442682 | Lindsey Thurmes Mccoy | Dietitian, Registered | 2232 Dell Range Blvd Ste 282, Cheyenne, WY 82009 | 2017-01-04 |
| 1306380696 | Alexandra Gill | Social Worker | 3304 East 1-80 Service Rd., Cheyenne, WY 82009 | 2016-12-06 |
| 1104213859 | Jennifer Schwartz | Specialist | 2601 Plain View Rd, Cheyenne, WY 82009 | 2015-04-21 |
| 1861830465 | Tyler Boyd | Dentist | 7209 Commons Cir Unit A, Cheyenne, WY 82009 | 2013-06-05 |
| 1639513351 | Gene E Darnell | Pharmacist | 3702 Del Range Blvd, Cheyenne, WY 82009 | 2013-04-24 |
| 1376891952 | Robert R Kanard | Internal Medicine | 714 Edward Dr, Cheyenne, WY 82009 | 2012-08-29 |
| 1639443336 | Jennifer Alam | Case Manager/Care Coordinator | 3304 E. I80 Service Rd, Cheyenne, WY 82009 | 2012-02-28 |
| 1376815357 | Christina Kay Brown | Licensed Practical Nurse | 3304 E I80 Service Rd, Cheyenne, WY 82009 | 2012-02-06 |
| Find all providers in zip 82009 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881117687 | John A Burnside | Pharmacy Technician | 1808 E 21st St, Cheyenne, WY 82001-4136 | 2017-07-24 |
| 1346780921 | Justin Axness | Pharmacy Technician | 5725 Eastland Ct Apt C, Cheyenne, WY 82001-6079 | 2017-03-02 |
| 1083083695 | Lindi Stellern | Pharmacy Technician | 902 Brittany Dr, Cheyenne, WY 82009-1089 | 2015-09-24 |
| 1063045136 | Kenneth Walker | Pharmacy Technician | 5353 Yellowstone Rd, Cheyenne, WY 82009-4178 | 2020-02-18 |
| 1376946921 | Nikole Anderson | Pharmacy Technician | 214 E 23rd St, Cheyenne, WY 82001-3748 | 2014-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992793350 | Christina J. Tiensvold | Pharmacy Technician | 2625 E 2nd St, Casper, WY 82609-2045 | 2005-10-10 |
| 1457918344 | Thanh Liu | Pharmacy Technician | 1898 Fort Rd, Sheridan, WY 82801-8320 | 2019-05-25 |
| 1003961434 | Molly H. Peak | Pharmacy Technician | 428 S Durbin St, Casper, WY 82601-2818 | 2007-01-24 |
| 1093703456 | Jody J. Alvies | Pharmacy Technician | 428 S Durbin St, Casper, WY 82601-2818 | 2005-10-10 |
| 1457349813 | Bella J. Tipton | Pharmacy Technician | 428 S Durbin St, Casper, WY 82601-2818 | 2005-10-10 |
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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.