MICHAEL CLARK (NPI# 1679817753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679817753 |
| Entity Type | Individual |
| Full Name | MICHAEL CLARK |
| Credential | PHARM.D. |
| Practice Address |
2004 S Pleasant St Springdale AR 72764-6204 |
| Mailing Address |
1732 N Applebury Pl Fayetteville AR 72701-2505 |
| Practice Telephone | 4797560860 |
| Mailing Telephone | 5014929253 |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PD10832 | AR | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534227 | Michael Clark | Contractor | 1107 Lavender Shade Court, Houston, TX 77073 | 2020-10-02 |
| 1558858464 | Michael Clark | Optometrist | 990 Medical Dr Ste G3, Brigham City, UT 84302 | 2018-04-16 |
| 1740780006 | Michael Ryan Clark | Pharmacist | 556 Northside Drive, Statesboro, GA 30458 | 2018-02-13 |
| 1942715255 | Michael Clark | Physical Medicine & Rehabilitation | 10600 Riverside Drive, Coral Springs, FL 33071-3307 | 2017-12-08 |
| 1386170348 | Michael Clark | Registered Nurse | 317 E 100 N, Price, UT 84501-2504 | 2017-05-11 |
| 1184163982 | Michael Clark | Specialist/Technologist | 19 Second Ave, Auburn, NY 13021-5113 | 2017-02-14 |
| 1356780837 | Michael Clark | Adult Companion | 8305 Concord Dr, Rowlett, TX 75089-2001 | 2013-06-18 |
| 1417394503 | Michael Ray Clark | Pharmacist | 2661 Valleydale Rd, Hoover, AL 35244-2026 | 2013-05-29 |
| 1407143381 | Michael Jeffery Clark | Orthopaedic Surgery | 5671 Peachtree Dunwoody Ste 700, Atlanta, GA 30342-5047 | 2011-06-29 |
| 1700183993 | Michael Brady Clark | Preventive Medicine | 1400 Mckean Rd, Spring House, PA 19477 | 2011-02-24 |
| Street Address |
2004 S PLEASANT ST |
| City | SPRINGDALE |
| State | AR |
| Zip Code | 72764-6204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346267721 | Walmart Inc. | Pharmacy | 2004 S Pleasant St, Springdale, AR 72764-6204 | 2006-07-16 |
| 1508467085 | Martha Guadalupe Gann | Pharmacist | 2004 S Pleasant St, Springdale, AR 72764-6298 | 2020-11-03 |
| 1609476175 | Pooja Desai | Pharmacist | 2004 S Pleasant St, Springdale, AR 72764-6204 | 2020-10-26 |
| 1275954026 | Ray Gordon Price | Pharmacist | 2004 S Pleasant St, Springdale, AR 72764-6204 | 2013-12-20 |
| 1851712921 | Robert Andrews | Pharmacist | 2004 S Pleasant St, Springdale, AR 72764-6204 | 2013-12-17 |
| 1538599741 | Allison Baldwin | Pharmacist | 2004 S Pleasant St, Springdale, AR 72764-6204 | 2013-11-25 |
| 1417030339 | Wal-mart Stores, Inc. | Technician/Technologist | 2004 S Pleasant St, Springdale, AR 72764-6204 | 2006-10-23 |
| 1619981560 | Arkansas Eye Care Associates, Inc. | Optometrist | 2004 S Pleasant St, Springdale, AR 72764-6204 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851903884 | Conway County Community Service Inc. | Community/Behavioral Health | 616 E. Emma Avenue, Suite 244, Springdale, AR 72764 | 2020-08-20 |
| 1316592801 | Above and Beyond Pediatric Therapy, Inc | Speech-Language Pathologist | 2700 American St., Ste B, Springdale, AR 72764 | 2019-08-02 |
| 1053871061 | Specialized Hearing Instruments, Inc. | Audiologist-Hearing Aid Fitter | 958 S. West End St., Springdale, AR 72764 | 2019-03-25 |
| 1801385976 | Taylor Beauregard Kelamis | Nurse Practitioner | Mercy Clinic Family Medicine, 1110 W. Robinson Ave, Springdale, AR 72764 | 2018-05-04 |
| 1649726878 | Ember Estelle Lanuti Brown | Speech-Language Pathologist | 4209 Navajo Court, Springdale, AR 72764 | 2016-08-28 |
| 1568838241 | Elayna Wells | Speech-Language Pathologist | 900 S Powell Street, Springdale, AR 72764 | 2015-08-17 |
| 1184003261 | Okeyo Oghina | Nurse Practitioner | 609 West Maple Avenue, Northwest Health System, Springdale, AR 72764 | 2015-05-22 |
| 1235524869 | William M Rogers | Family Medicine | 513 N. Shiloh Street, Springdale, AR 72764 | 2015-03-31 |
| 1336498872 | Kelly Meeann Miller | Speech-Language Pathologist | 105 S Blair Street, Springdale, AR 72764 | 2012-08-30 |
| 1902183874 | Cristy Hoffman | Physical Therapy Assistant | 2837 American St Ste A, Springdale, AR 72764 | 2011-11-07 |
| Find all providers in zip 72764 | ||||
| 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 |
|---|---|---|---|---|
| 1326656596 | Andrea Eads | Pharmacist | 3514 Sweetgum Ln, Springdale, AR 72764-6611 | 2020-07-14 |
| 1881035590 | Aaron R Pruitt | Pharmacist | 3803 Endicott Pl, Springdale, MD 20774-5431 | 2013-07-10 |
| 1740529916 | John Kelvin Rissinger | Pharmacist | 1945 Butterfield Coach Rd, Springdale, AR 72764-7320 | 2013-02-07 |
| 1962754135 | Natalie Eckman | Pharmacist | 1100 East Kemper Road, Springdale, OH 45246 | 2012-10-11 |
| 1861799504 | Teresa D. Mcchristian | Pharmacist | 2799 Holly Pl, Springdale, AR 72764-6018 | 2011-02-15 |
| 1386940369 | Layne Alexander Moore | Pharmacist | 22661 Lakeview Rd, Springdale, AR 72764-9459 | 2011-02-08 |
| 1598864456 | Charles F Watts | Pharmacist | 4255 Brighten Ave, Springdale, AR 72762-0432 | 2006-09-21 |
| 1437251154 | David M Sevic | Pharmacist | 838 Pittsburgh St, Springdale, PA 15144-1623 | 2006-09-02 |
| 1346211513 | Charles Freeman Shuster | Pharmacist | 400 W Emma Ave, Springdale, AR 72764-4471 | 2006-01-27 |
| 1306832225 | City Pharmacy of Springdale Inc | Pharmacist | 701 S Thompson St, Suite A, Springdale, AR 72764-4248 | 2005-09-26 |
| Find all providers in SPRINGDALE | ||||
| City | SPRINGDALE |
| Zip Code | 72764 |
Please comment or provide details below to improve the information on MICHAEL 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.