JACE ANTHONY CLARK (NPI# 1699056028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699056028 |
| Entity Type | Individual |
| Full Name | JACE ANTHONY CLARK |
| Practice Address |
750 E Guadalupe Rd Tempe AZ 85283-2912 |
| Mailing Address |
310 S 4th St Unit 708 Phoenix AZ 85004-2461 |
| Practice Telephone | 4808204479 |
| Mailing Telephone | 6029087791 |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2011-08-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | S018514 | AZ | Pharmacy Service Providers |
| Street Address |
750 E GUADALUPE RD |
| City | TEMPE |
| State | AZ |
| Zip Code | 85283-2912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063810182 | Minh Phuong Nguyen | Pharmacist | 750 E Guadalupe Rd, Tempe, AZ 85283-2912 | 2014-12-06 |
| 1023445541 | Emmanuel Jagdon | Pharmacist | 750 E Guadalupe Rd, Tempe, AZ 85283-2912 | 2013-09-29 |
| 1922389881 | Beena A Patel | Pharmacist | 750 E Guadalupe Rd, Tempe, AZ 85283-2912 | 2011-09-06 |
| 1083651418 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 750 E Guadalupe Rd, Tempe, AZ 85283-2912 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093373284 | Odilette Trevizo | Registered Nurse | Beautiful You Med Spa, 123 E Baseline Rd Ste D208, Tempe, AZ 85283 | 2019-06-03 |
| 1538631981 | Baseline Dental Care Pllc | Dentist | 1980 E Baseline Road Suite 101, Tempe, AZ 85283 | 2018-12-26 |
| 1912409228 | Laura Lee Jones | Social Worker | 438 W. Seed Farm Road, Sacaton, AZ 85283 | 2018-03-02 |
| 1609226364 | Clean Colonic LLC | Public Health or Welfare | 7560 S. Willow Dr, Tempe, AZ 85283 | 2016-06-14 |
| 1235583212 | Seema Bacon | Counselor | 2111 E Baseline Rd Ste D2, Tempe, AZ 85283 | 2016-04-15 |
| 1326436908 | Dale E King | Social Worker | 1405 E. Guadalupe Road, Tempe, AZ 85283 | 2015-01-05 |
| 1194135871 | Greater Phoenix Psychiatric Associate Pllc | Psychiatry & Neurology | 6530 S Maple Ave, Tempe, AZ 85283 | 2014-05-02 |
| 1639468077 | Muna A Jama | Pharmacist | 6404 S Mcclintock Dr., Tempe, AZ 85283 | 2011-04-06 |
| 1649580945 | Nancy A Syms | Psychologist | 6350 South Maple Avenue, Tempe, AZ 85283 | 2010-10-20 |
| 1629208400 | Bonnie J Rouzaud | Nurse Practitioner | 1920 E Baseline Road, Tempe, AZ 85283 | 2009-07-15 |
| Find all providers in zip 85283 | ||||
| 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 |
|---|---|---|---|---|
| 1902350044 | Van Hoan Ho | Pharmacist | 1811 E Apache Blvd, Apt 3078, Tempe, AZ 85281-6088 | 2016-08-05 |
| 1437603628 | Ranna Ardebili | Pharmacist | 60 E Rio Salado Pkwy Ste 9049, Tempe, AZ 85281 | 2016-08-05 |
| 1760869630 | Franklin Richey Green | Pharmacist | 658 E Vinedo Ln, Tempe, AZ 85284-1470 | 2015-04-30 |
| 1679973671 | John Joseph Mchale Iv | Pharmacist | 415 S 48th St Ste 101, Tempe, AZ 85281-2358 | 2014-08-27 |
| 1366850349 | Garrett Coffee | Pharmacist | 1735 E Southern Ave, Tempe, AZ 85282 | 2014-07-23 |
| 1063822922 | Chauntel Nicole Rene Kellar | Pharmacist | 1600 W La Jolla Dr, Apt 2033, Tempe, AZ 85282-4430 | 2014-04-30 |
| 1043552466 | Dean R Franke | Pharmacist | 1501 W Fountainhead Pkwy Ste 5500, Tempe, AZ 85282-1868 | 2013-03-24 |
| 1770854903 | James Paul Labella | Pharmacist | 8150 S Kyrene Rd Ste 205, Tempe, AZ 85284-2115 | 2012-01-19 |
| 1992091185 | David Christopher Arresh Darbandi | Pharmacist | 1800 E Rio Salado Pkwy, T2176, Tempe, AZ 85281-2255 | 2011-06-26 |
| 1225324155 | Richard Albert Zoyhofski | Pharmacist | 8550 S Priest Dr, Target Pharmacy, Tempe, AZ 85284-1902 | 2011-06-20 |
| Find all providers in TEMPE | ||||
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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.