CHARLES JOHN CLARK (NPI# 1689826984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689826984 |
| Entity Type | Individual |
| Full Name | CHARLES JOHN CLARK |
| Credential | R.PH. |
| Practice Address |
203 So. Daisy Salmon ID 83467 |
| Mailing Address |
Box 700 Steele Memorial Medical Center 203 So. Daisy Salmon ID 83467 |
| Practice Telephone | 2087565672 |
| Practice Fax Number | 2087565757 |
| Mailing Telephone | 2087565672 |
| Mailing Fax Number | 2087565757 |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2008-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | P-4334 | ID | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940753 | Charles Patrick Clark | Physician Assistant | 6621 Fannin St, Houston, Houston, TX 77030 | 2019-03-08 |
| 1013485713 | Charles Nicholson Clark | Nurse Practitioner | 1331 Bandera Hwy Ste 4, Kerrville, TX 78028-9535 | 2018-11-12 |
| 1568971653 | Charles E Clark IIi | Counselor | 255 Main Street, St. Clairsville, OH 43950 | 2017-09-21 |
| 1649680406 | Charles Amos Clark | Internal Medicine | Vanderbilt University Dept of Medicine, D-3100, Medical Center North, Nashville, TN 37232 | 2014-05-02 |
| 1124301106 | Charles Malcolm Clark Jr. | Internal Medicine | 2802 Lafayette Road Suite 13, Eagledale Health Center, Indianapolis, IN 46222-2112 | 2011-09-26 |
| 1811290935 | Charles Warren Clark Jr. | Massage Therapist | 19577 Fm 2854 Rd, Montgomery, TX 77316-3150 | 2010-12-11 |
| 1780913640 | Charles S Clark | Physician Assistant | Bldg. H 2005 Knight Lane Attn: Medical Staff Services, Navy Medicine Support Command, Jacksonville, FL 92055-0140 | 2009-12-23 |
| 1083866222 | Charles Larry Clark Jr. | Dentist | 2415 Gillionville Rd, Albany, GA 31707-3022 | 2008-10-21 |
| 1164642948 | Charles Robert Clark | Family Medicine | 1725 N Sky Glen Path, Hernando, FL 34442-6187 | 2007-04-26 |
| 1093722902 | Charles Kevin Clark | Physical Therapist | 10214 N Tatum Blvd, Suite B-500, Phoenix, AZ 85028-4224 | 2006-08-02 |
| Street Address |
203 SO. DAISY |
| City | SALMON |
| State | ID |
| Zip Code | 83467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962010686 | Rocky Mountain Holdings, LLC | Ambulance | 17 Center Hangar Rd, Salmon, ID 83467 | 2020-07-20 |
| 1790204881 | Annah Benedict Dahle | Physical Therapist | Porgy & Petunia's Pediatric Therapy 111 E Lillian, Suite 8, Salmon, ID 83467 | 2017-09-11 |
| 1912436395 | Georgena Yanoff | Occupational Therapist | 516 Main Street #103, Salmon, ID 83467 | 2017-06-08 |
| 1134580525 | Amy Berasi | Specialist | 201 Pole Line Rd, Salmon, ID 83467 | 2016-03-11 |
| 1689098964 | Aspen Meadows Home Care LLC | In Home Supportive Care | 104 South Warpath, Salmon, ID 83467 | 2014-02-07 |
| 1366799827 | Physical Therapy Clinic,inc. | Clinic/Center | 802 Shoup Street, Salmon, ID 83467 | 2012-08-14 |
| 1972767531 | Katherine I Contway | Social Worker | 204 Courthouse Dr, Salmon, ID 83467 | 2008-07-14 |
| 1215135017 | Annie J Allen | Acupuncturist | 111 Lillian Street, Suite 211, Salmon, ID 83467 | 2007-07-03 |
| 1992913479 | Steele Memorial Medical Center | Medicare Defined Swing Bed Unit | 203 S. Daisy St., Salmon, ID 83467 | 2007-05-18 |
| 1134266166 | Salmon River Joint School District #243 | Local Education Agency (LEA) | 907 Sharkey Street, Salmon, ID 83467 | 2007-01-31 |
| Find all providers in zip 83467 | ||||
| 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 |
|---|---|---|---|---|
| 1982074084 | Marla Hunteman | Pharmacist | 1026 S Challis St, Salmon, ID 83467-5441 | 2015-10-01 |
| 1861861643 | Catherine Cochran | Pharmacist | 1026 S Challis St, Salmon, ID 83467-5441 | 2015-09-22 |
| 1225407273 | Kami Thimons | Pharmacist | 1026 S Challis St, Salmon, ID 83467-5441 | 2015-09-21 |
| 1801279021 | Brittany Marie Cole | Pharmacist | 1200 Shoup St, Salmon, ID 83467-4300 | 2015-07-07 |
| 1679720387 | Joel Rea | Pharmacist | 203 S Daisy, Salmon, ID 83467-0700 | 2008-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457950750 | Jill Willett | Pharmacist | 5453 Us Hwy 2, Priest River, ID 83856 | 2020-10-19 |
| 1568078046 | Peter Chad Adamovich | Pharmacist | 3553 Summit Dr, Pocatello, ID 83201-8011 | 2020-09-19 |
| 1932713765 | Richard Lee Wilgus | Pharmacist | 131 W Cameron Ave, Kellogg, ID 83837-2359 | 2020-08-31 |
| 1194335406 | Elizabeth Halcro | Pharmacist | 5453 Hwy 2, Priest River, ID 83856-8385 | 2020-08-03 |
| 1740890094 | Emilie Heun | Pharmacist | 10700 W Ustick Rd, Boise, ID 83713-5103 | 2020-08-02 |
| 1881212371 | Ngan T Nguyen | Pharmacist | 161 E. Prairie Shopping Center, Hayden, ID 83835 | 2020-07-10 |
| 1467071811 | Cassidy Paige Howarth | Pharmacist | 5861 Victor Meadows Dr, Victor, ID 83455-5482 | 2020-04-15 |
| 1477186542 | Mark David Johnston | Pharmacist | 1683 E Myrtle Beach Ct, Eagle, ID 83616-5366 | 2020-02-18 |
| 1386282572 | Renee L Patton | Pharmacist | 520 S Eagle Rd Ste 2108, Meridian, ID 83642-6363 | 2019-12-18 |
| 1437795259 | Paul Charles Villaret | Pharmacist | 1855 N Groveland Pl, Eagle, ID 83616-4275 | 2019-11-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CHARLES JOHN 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.