DR. BETH ELLEN CLARK (NPI# 1588650733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588650733 |
| Entity Type | Individual |
| Full Name | DR. BETH ELLEN CLARK |
| Credential | PHARMD, CACP |
| Practice Address |
808 Landmark Dr Suite 128 Glen Burnie MD 21061-4983 |
| Mailing Address |
10366 Old Frederick Rd Woodstock MD 21163-1309 |
| Practice Telephone | 4105904140 |
| Practice Fax Number | 4105904159 |
| Mailing Telephone | 4105904140 |
| Mailing Fax Number | 4105904159 |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2012-04-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 13263 | MD | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750831004 | Beth Clark | Registered Nurse | 23 Edgewater Pl, Glens Falls, NY 12801-4110 | 2016-10-11 |
| 1235494998 | Beth A Clark | Counselor | 4175 Lakeside Dr, Richmond, CA 94806-5774 | 2012-07-09 |
| 1538451752 | Beth Watts Clark | Registered Nurse | 151 Sigmon Rd, Lincolnton, NC 28092-8577 | 2011-05-05 |
| 1447489083 | Beth A Clark | Physical Therapist | 1100 N Main St, Rice Lake, WI 54868-1238 | 2009-07-03 |
| 1376730689 | Beth Anne Clark | Chiropractor | 1953 Ridge Rd, West Seneca, NY 14224-3339 | 2007-10-01 |
| 1801925557 | Beth Zelenak Clark | Pathology | 101 Bodin Circle, David Grant Medical Center, Travis Afb, CA 94535 | 2007-03-05 |
| 1427022029 | Beth A Clark | Specialist | Route 56, Fishertown, PA 15539 | 2006-02-13 |
| 1194715672 | Beth E Clark | Physician Assistant | 11600 W 2nd Pl, Lakewood, CO 80228-1527 | 2005-10-25 |
| Street Address |
808 LANDMARK DR SUITE 128 |
| City | GLEN BURNIE |
| State | MD |
| Zip Code | 21061-4983 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447258876 | Gerard Lowder | Internal Medicine | 808 Landmark Dr, Suite 122, Glen Burnie, MD 21061-4983 | 2005-07-11 |
| 1649631490 | Siga Vaskys | Nurse Practitioner | 808 Landmark Dr, Suite 122, Glen Burnie, MD 21061-4983 | 2016-03-08 |
| 1639557010 | Heather Spoon | Nurse Practitioner | 808 Landmark Dr, Suite 122, Glen Burnie, MD 21061-4983 | 2015-05-18 |
| 1841602877 | Foundation Medical Clinic | Clinic/Center | 808 Landmark Dr, Suite 116, Glen Burnie, MD 21061-4983 | 2014-05-26 |
| 1205255122 | Nancy Cooper | Dietitian, Registered | 808 Landmark Dr, Suite 122, Glen Burnie, MD 21061-4983 | 2014-04-08 |
| 1811335292 | Sharon Marie Kennedy | Dietitian, Registered | 808 Landmark Dr, Suite 122, Glen Burnie, MD 21061-4983 | 2013-06-07 |
| 1245597616 | Foot & Ankle Center of Maryland, LLC | Podiatrist | 808 Landmark Dr, Suite 225, Glen Burnie, MD 21061-4983 | 2012-04-23 |
| 1073806717 | Hormone Replacement Clilnic | Specialist | 808 Landmark Dr, Suite 116, Glen Burnie, MD 21061-4983 | 2011-05-26 |
| 1346482304 | Lauren Michelle Maragh | Internal Medicine | 808 Landmark Dr, Suite 128, Glen Burnie, MD 21061-4983 | 2009-04-06 |
| 1578730479 | Marguerite A Downs | Nurse Practitioner | 808 Landmark Dr, Suite 122, Glen Burnie, MD 21061-4983 | 2008-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255814422 | Lotus Behavioral Health and Rehabilitation Services Inc. | Behavior Technician | 6426 Harrison Square, Glen Burnie, MD 21061 | 2018-09-12 |
| 1942795315 | Tina Brown | Behavior Technician | Rise for Autism, 510 Mccormick Drive, Ste. U-w, Glen Burnie, MD 21061 | 2018-06-27 |
| 1205351905 | Digna Emerita Sanchez De Vasquez | Specialist/Technologist, Other | 201 Fernglen Ave, Glen Burnie, MD 21061 | 2017-08-03 |
| 1255780300 | Rachel Cutts | Physical Therapist | 7711 Quarterfield Rd Ste C2, Glen Burnie, MD 21061 | 2016-06-09 |
| 1295181170 | Gaudenzia, Inc. | Counselor | 5 Crain Highway North - Rear Suite Entrance, Glen Burnie, MD 21061 | 2016-05-10 |
| 1023499548 | Mary Bourbon | Nurse Practitioner | 1600 S. Cain Highway, Suite 401, Glen Burnie, MD 21061 | 2015-06-10 |
| 1972997724 | Robert Oladeinde | Physician Assistant | 6934 Aviation Blvd Suite B, Glen Burnie, MD 21061 | 2015-03-18 |
| 1205248069 | Cathy Qing He | Anesthesiology | 1600 Crain Hwy S Ste 301, Glen Burnie, MD 21061 | 2014-05-28 |
| 1477974764 | Shannon Holder | Nurse Practitioner | 1916 Crain Hwy S Ste 2, Glen Burnie, MD 21061 | 2014-01-03 |
| 1629404207 | Marla Ann Muha | Physician Assistant | 301 Hospital Dr # 803, Glen Burnie, MD 21061 | 2013-09-16 |
| Find all providers in zip 21061 | ||||
| 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 |
|---|---|---|---|---|
| 1578163432 | Pankaj K Shrivastava | Pharmacist | 8b Mountain Rd, Glen Burnie, MD 21060-7974 | 2020-10-29 |
| 1891253902 | Jonathan H Geller | Pharmacist | 6716 Governor Ritchie Hwy, Glen Burnie, MD 21061-2319 | 2019-03-07 |
| 1073084422 | Mary Gendi | Pharmacist | 107 Governors Ct Apt K, Glen Burnie, MD 21061-3190 | 2018-12-11 |
| 1447738141 | Trieu Bao | Pharmacist | 801 Landmark Dr Ste B, Glen Burnie, MD 21061-4986 | 2018-08-03 |
| 1942759451 | Peace Oluchi Siyou | Pharmacist | 206 Somerset Bay Dr Apt 302, Glen Burnie, MD 21061-6399 | 2016-09-26 |
| 1750754685 | Jackoline Costantino | Pharmacist | 6459 Bricktown Cir, Glen Burnie, MD 21061-1542 | 2015-10-30 |
| 1336536119 | Chloe Chau | Pharmacist | 1600 Crain Hwy S Ste 110, Glen Burnie, MD 21061-6439 | 2015-04-20 |
| 1710260831 | Family Discount Pharmacy | Pharmacist | 337 Hospital Dr Ste J, Glen Burnie, MD 21061-5549 | 2011-09-25 |
| 1659665917 | Candy Siu-wai Tang | Pharmacist | 6717 Governor Ritchie Hwy, T-1938, Glen Burnie, MD 21061-2318 | 2011-06-04 |
| 1043527872 | Asma Roohi Shah | Pharmacist | 103 Crain Hwy N, Suite B2, Glen Burnie, MD 21061-3096 | 2010-08-31 |
| Find all providers in GLEN BURNIE | ||||
| City | GLEN BURNIE |
| Zip Code | 21061 |
Please comment or provide details below to improve the information on DR. BETH ELLEN 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.