MRS. MONICA DARICE CLARK (NPI# 1770588550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770588550 |
Entity Type | Individual |
Full Name | MRS. MONICA DARICE CLARK |
Credential | RPH |
Practice Address |
100 Monroe Street Anoka MN 55303 |
Mailing Address |
13062 Thrush Street Nw Coon Rapids MN 55448 |
Practice Telephone | 7634215540 |
Mailing Telephone | 7638620893 |
Enumeration Date | 2005-06-17 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 117860 | MN | Pharmacy Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | MN BOARD OF PHARMACY | 1171860 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700282043 | Monica Clark | Registered Nurse | 41268 Rosedale St, Indio, CA 92203-3213 | 2014-11-14 |
1881801231 | Monica Riely Clark | Physician Assistant | 2006 Highway 71 Ste 3, Spring Lake, NJ 07762-2283 | 2007-05-16 |
1316998719 | Monica E Clark | Midwife | 72 Plaza Way Nw, Marietta, GA 30060-1104 | 2006-05-12 |
1376517045 | Monica Mary Clark | Social Worker | 2102 East 38th St, Davenport, IA 52807 | 2006-02-17 |
1477176410 | Monica Clark | Social Worker | 37 Calumet Pkwy, Newnan, GA 30263-6734 | 2020-05-26 |
1356976716 | Monica Clark | Licensed Vocational Nurse | 47915 Oasis St, Indio, CA 92201-6950 | 2020-03-05 |
1619507399 | Monica Lynn Clark | Case Manager/Care Coordinator | 1450 Peterman Dr Ste A, Alexandria, LA 71301-3432 | 2020-01-22 |
1689150344 | Monica Clark | Counselor | 1635 Popps Ferry Rd, Biloxi, MS 39532-2312 | 2018-07-16 |
1528583408 | Monica Kaye Clark | Psychologist | 125 Big Sink Rd Ste B, Versailles, KY 40383-1956 | 2017-08-11 |
1073063699 | Monica Clark | Pharmacist | 2001 Mchenry Ave, Modesto, CA 95350-3245 | 2016-10-06 |
Street Address |
100 MONROE STREET |
City | ANOKA |
State | MN |
Zip Code | 55303 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962009548 | Emily Ongaga | Nurse Practitioner | 43 10 Parkview Circle, Anoka, MN 55303 | 2020-10-06 |
1568083111 | Suite Living Senior Care of Ramsey | Assisted Living Facility | 7007 139th Lane Nw, Ramsey, MN 55303 | 2020-05-05 |
1154942258 | Naomi Nystrom | Clinical Neuropsychologist | Psychology-building A, 3301 7th Ave. N, Anoka, MN 55303 | 2020-04-29 |
1104452135 | Vnv Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 15200 Helium Street Nw, Ramsey, MN 55303 | 2020-03-22 |
1043851165 | Mary Rahn | Technician | 20650 Poppy St. Nw, Oak Grove, MN 55303 | 2019-09-30 |
1417509100 | Deka Ahmed Abdulle | Advanced Practice Midwife | 601 Jacob Lane, Mail Stop 39300a, Anoka, MN 55303 | 2019-07-12 |
1952818981 | Golden Hearts Home Care Services | Home Health | 609 Parkview Ct, Anoka, MN 55303 | 2017-12-29 |
1144740143 | Margret Kallstrom | Occupational Therapist | 929 Adams St., Anoka, MN 55303 | 2017-06-21 |
1376095471 | Sabra Ramsey Trs, LLC | Assisted Living Facility | 14401 Nowthen Blvd Nw, Ramsey, MN 55303 | 2016-10-25 |
1356794135 | Katlyn Marie Bass | Chiropractor | 1902 5th Ave S Suite 5, Anoka, MN 55303 | 2016-07-18 |
Find all providers in zip 55303 |
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 |
---|---|---|---|---|
1346802816 | Kailene Perry | Pharmacist | 601 Jacob Ln Ste 1, Anoka, MN 55303-1776 | 2019-07-03 |
1164754339 | Gordon A. Seim | Pharmacist | 1100 W Highway 10, Anoka, MN 55303-6235 | 2010-02-12 |
1841522182 | Mildred Muyang Chi | Pharmacist | 1100 W Highway 10 Nw, Kmart Pharmacy#3897, Anoka, MN 55303-2086 | 2010-02-11 |
1487794889 | A. Ward. Inc. | Pharmacist | 530 W Main St, Anoka, MN 55303-2063 | 2007-02-07 |
1275537102 | Steven Thomas Simenson | Pharmacist | 100 Monroe St, Anoka, MN 55303-2405 | 2005-06-09 |
1093327546 | Alexi Johnson | Pharmacist | 1911 S Ferry St, Anoka, MN 55303-2143 | 2020-08-17 |
1619587078 | Mary Accomando | Pharmacist | 3301 7th Ave, Anoka, MN 55303-4516 | 2020-07-31 |
1700402864 | Samantha Anne Russo | Pharmacist | 601 Jacob Ln, Anoka, MN 55303-1776 | 2020-06-24 |
1457980849 | Candida Ann Theresa Singh | Pharmacist | 657 E Main St, Anoka, MN 55303-2528 | 2020-04-07 |
1174185714 | Emily K Hulke | Pharmacist | 601 Jacob Ln, Anoka, MN 55303-1776 | 2019-07-03 |
Find all providers in ANOKA |
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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.