DR. KALIN MICHAEL CLIFFORD (NPI# 1679812804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679812804 |
| Entity Type | Individual |
| Full Name | DR. KALIN MICHAEL CLIFFORD |
| Credential | PHARMD |
| Practice Address |
4500 S Lancaster Rd Building 7, Room 201 Dallas TX 75216-7167 |
| Mailing Address |
5920 Forest Park Rd Suite 500 Dallas TX 75235-6411 |
| Practice Telephone | 2143589040 |
| Mailing Telephone | 2143589040 |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2015-03-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835G0303X |
Pharmacist Specialization: Geriatric |
54416 | TX | Pharmacy Service Providers |
| Y | 1835G0303X |
Pharmacist Specialization: Geriatric |
26024088A | IN | Pharmacy Service Providers |
| N | 1835G0303X |
Pharmacist Specialization: Geriatric |
20932 | MD | Pharmacy Service Providers |
| Street Address |
4500 S LANCASTER RD BUILDING 7, ROOM 201 |
| City | DALLAS |
| State | TX |
| Zip Code | 75216-7167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083608178 | Lynn Brooks | Obstetrics & Gynecology | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2005-09-06 |
| 1952909392 | Christy M Jacob | Occupational Therapist | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2020-10-16 |
| 1861090680 | Jennifer Michelle Dejong | Social Worker | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2020-10-14 |
| 1639776511 | Hanh Kimberly Nguyen | Pharmacist | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2020-10-05 |
| 1871190868 | Nida Khan | Pharmacist | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2020-10-03 |
| 1720685969 | Elizabeth Anderson | Psychologist | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2020-10-01 |
| 1780291104 | Regina Reynolds | Social Worker | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2020-09-29 |
| 1962018309 | Carl Lonell Lee | Registered Nurse | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2020-09-21 |
| 1407462393 | Bing Liu | Nurse Practitioner | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2020-09-16 |
| 1508472457 | Dana Martin | Nurse Practitioner | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2020-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384115 | Dg Edwards Pllc | Clinic/Center | 4498 Marsalis Avenue, Dallas, TX 75216 | 2020-07-30 |
| 1407407984 | Margaret Ruth Mitchell | Technician | 4950 Wadsworth Apt 1019, Dallas, TX 75216 | 2019-09-25 |
| 1033605373 | James Sherman Mckoy | Radiology | 45oo S Lancaster Rd, Dallas, TX 75216 | 2018-07-10 |
| 1982192274 | Toni Danielle Smith | Pharmacist | 3232 Great Trinity Forest Way Ste 102a, Dallas, TX 75216 | 2018-04-23 |
| 1124546353 | Tiffany Price | Social Worker | 45oo S. Lancaster Rd., Dallas, TX 75216 | 2017-09-08 |
| 1215397476 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 150 East Illinois Ave, Dallas, TX 75216 | 2016-03-02 |
| 1629466834 | Elena Mayra Rodriguez | Physician Assistant | 3200 S Lancaster Rd Ste 180, Dallas, TX 75216 | 2014-12-23 |
| 1043651367 | Lakisha Henderson | Registered Nurse | 2619 S. Lancaster Rd, Dallas, TX 75216 | 2013-07-15 |
| 1669812871 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 5050 S Lancaster Rd, Dallas, TX 75216 | 2013-07-02 |
| 1922341361 | Angela S Ayers | Home Health Aide | 302 Zang Ave, Dallas, TX 75216 | 2013-04-04 |
| Find all providers in zip 75216 | ||||
| Taxonomy Code | 1835G0303X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Geriatric |
| A pharmacist who is certified in geriatric pharmacy practice is designated as a "Certified Geriatric Pharmacist" (CGP). To become certified, candidates are expected to be knowledgeable about principles of geriatric pharmacotherapy and the provision of pharmaceutical care to the elderly. |
| Notes: Source: Commission for Certification in Geriatric Pharmacy (www.ccgp.org) [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114495991 | Shelby Sutton Anderson | Pharmacist | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2018-11-09 |
| 1457807299 | Jordan Light | Pharmacist | 4500 S Lancaster Rd, Pharmacy Department, Dallas, TX 75216-7167 | 2016-08-31 |
| 1417074543 | Ronald Kevin Patrick | Pharmacist | 7310 S Westmoreland Rd, Dallas, TX 75237-2998 | 2007-03-23 |
| 1386791309 | Neal Dave | Pharmacist | 3535 Worth St, Dallas, TX 75246-2006 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013527779 | James Michael Varnell | Pharmacist | 1900 Silkwood Ct, Keller, TX 76248-8471 | 2020-08-06 |
| 1497378673 | Billy James Poteet | Pharmacist | 5234 89th St, Lubbock, TX 79424-3548 | 2020-05-22 |
| 1780249516 | Jason Branson Sutton | Pharmacist | 3313 Essex Dr # 200, Richardson, TX 75082-9714 | 2019-05-07 |
| 1447758503 | Lyndsi White | Pharmacist | 302 Kylie Ct, Sulphur Springs, TX 75482-6633 | 2018-01-24 |
| 1750891412 | Craig Alan Inman | Pharmacist | 4717 W Wedgefield Rd, Granbury, TX 76049-4042 | 2017-10-09 |
| 1760855704 | Glen Anderson | Pharmacist | 31 Tennis Village Dr, Heath, TX 75032-5995 | 2015-11-12 |
| 1205255429 | Douglas Bryan Smock | Pharmacist | 3313 Essex Drive, Ste 200, Richardson, TX 75082 | 2014-04-15 |
| 1659718971 | Angela Klaire Bazaldua | Pharmacist | 1616 S Kentucky St Ste A140, Amarillo, TX 79102-5215 | 2013-05-28 |
| 1083954044 | Aketi Sturghill | Pharmacist | 4514 Rosemont Ave, Grand Prairie, TX 75052-3536 | 2013-02-27 |
| 1154665768 | J and D Pharmacy | Pharmacist | 12895 Josey Ln., #111, Farmers Branch, TX 75234 | 2012-11-20 |
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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.