LATOYA SHANEESE CLARK (NPI# 1811412109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811412109 |
| Entity Type | Individual |
| Full Name | LATOYA SHANEESE CLARK |
| Credential | PHARMD |
| Practice Address |
7700 Shepherdsville Rd Louisville KY 40219-4021 |
| Mailing Address |
13010 Observation Cir Unit 301 Louisville KY 40243-1687 |
| Practice Telephone | 5029687777 |
| Mailing Telephone | 7316181911 |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2017-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 019359 | KY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790240810 | Latoya D. Clark | Counselor | 7725 Sandra St, Houston, TX 77016-6588 | 2019-02-02 |
| 1689959801 | Latoya M Clark | Nutritionist | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2011-10-19 |
| 1346566700 | Latoya Shantel Clark | Obstetrics & Gynecology | 1758 Park Pl, Suite 406, Montgomery, AL 36106-1127 | 2010-04-09 |
| 1144383795 | Latoya Denise Clark | Case Manager/Care Coordinator | 3810 Winchester Rd, Memphis, TN 38118-9007 | 2006-12-18 |
| Street Address |
7700 SHEPHERDSVILLE RD |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40219-4021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780974733 | Edward L Canary II | Pharmacist | 7700 Shepherdsville Rd, Louisville, KY 40219-4021 | 2011-04-11 |
| 1083137020 | Walgreen Co | Pharmacy | 7700 Shepherdsville Rd, Louisville, KY 40219-4021 | 2017-07-21 |
| 1558653147 | Krysta M Loy | Pharmacist | 7700 Shepherdsville Rd, Louisville, KY 40219-4021 | 2011-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948154 | Kathleen B Berghausen | Nurse Practitioner | 4112 Fern Valley Rod, Louisville, KY 40219 | 2020-09-25 |
| 1174165989 | Joann Deborah Hobbs | Nurse Practitioner | 8216 Delido Rd, Louisville, KY 40219 | 2019-10-14 |
| 1962989319 | Jennifer Lynn Pinkerton | Hearing Instrument Specialist | 7326 Preston Hwy, Suite 206a, Louisville, KY 40219 | 2018-07-27 |
| 1942748447 | Melissa Freeman Emanuele | Speech-Language Pathologist | 1550 Raydale Drive, Lousville, KY 40219 | 2017-02-03 |
| 1083014013 | Christopher Maxey | Specialist/Technologist | Fern Valley Rd, Louisville, KY 40219 | 2014-08-27 |
| 1679985949 | Antwan Turner | Case Manager/Care Coordinator | 5523 Saxon Blvd, Louisville, KY 40219 | 2014-05-21 |
| 1386055168 | Kelly Larson | Case Manager/Care Coordinator | 6809 Bebe Ct., Louisville, KY 40219 | 2014-05-14 |
| 1639414626 | Prettysmilesdenturesandmorellc | Dentist | 19123 West Mcnichols Rd, Detroit, MI 40219 | 2012-12-03 |
| 1881967701 | Vickie Lynn Dixon | Homemaker | 3516 Templewood Dr., Louisville, KY 40219 | 2012-02-23 |
| 1811157555 | Tonya Lynn Frost | Chiropractor | 4300 Outer Loop Ste 10, Louisville, KY 40219 | 2008-06-16 |
| Find all providers in zip 40219 | ||||
| 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 |
|---|---|---|---|---|
| 1578164315 | Patricia Roberts | Pharmacist | 6903 Day Break Ct, Louisville, KY 40272-3896 | 2020-11-06 |
| 1457951170 | Okey Patrick Mbadike | Pharmacist | 3616 Buechal By Pass, Louisville, Ky 40218, Louisville, KY 40218 | 2020-10-30 |
| 1699372821 | Patricia Bentz | Pharmacist | 12803 Dove Lake Dr, Louisville, KY 40299-8341 | 2020-10-01 |
| 1629684253 | Kristen Sellers Webb | Pharmacist | 12356 Highway 15 S, Louisville, MS 39339-3700 | 2020-09-18 |
| 1922619840 | Keaton Creed | Pharmacist | 9519 Golders Green Cir Unit 301, Louisville, KY 40229-1382 | 2020-08-13 |
| 1588274195 | Katrina Kuban | Pharmacist | 900 Baxter Ave, Louisville, KY 40204-2047 | 2020-08-07 |
| 1144830829 | Madion Olivia Poteet | Pharmacist | 3814 Breckenridge Ln, Louisville, KY 40218-2881 | 2020-08-06 |
| 1225647159 | Mary Beth Ecken | Pharmacist | 1839 Lauderdale Rd, Louisville, KY 40205-1623 | 2020-07-27 |
| 1851917793 | Leanne Nieters | Pharmacist | 2303 Manchester Rd, Louisville, KY 40205-3045 | 2020-06-16 |
| 1568082295 | Amy Gostomski | Pharmacist | 13410 Eastpoint Centre Dr Ste 101, Louisville, KY 40223-4160 | 2020-04-22 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40219 |
Please comment or provide details below to improve the information on LATOYA SHANEESE 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.