CLARK ALLEN (NPI# 1811468606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811468606 |
| Entity Type | Individual |
| Full Name | CLARK ALLEN |
| Credential | PHARMD |
| Practice Address |
877 Jefferson Ave Memphis TN 38103-2807 |
| Practice Telephone | 9015456078 |
| Practice Fax Number | 9015457557 |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2018-12-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 39242 | TN | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | TENNESSEE STATE LICENSE | 39242 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205946076 | Clark E Allen | Psychologist | 180 Hubbard St, Glastonbury, CT 06033-3063 | 2006-08-30 |
| 1780679126 | Clark Hunter Allen | Neurological Surgery | 3345 Potomac Way, Idaho Falls, ID 83404 | 2005-09-13 |
| Street Address |
877 JEFFERSON AVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38103-2807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144225590 | Clare L Mccarthy | Emergency Medicine | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2005-06-14 |
| 1508466467 | Ryain Alexander | Nurse Practitioner | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2020-10-29 |
| 1366049132 | Shruti Elizabeth Anthony | Anesthesiology | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2020-10-05 |
| 1750998464 | Matthew Porch | Radiologic Technologist | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2020-09-26 |
| 1851906101 | Stephanie Marie Baggett | Nurse Practitioner | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2020-09-14 |
| 1275148561 | Suzanne D Moyer | Nurse Practitioner | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2020-09-13 |
| 1760094999 | Adriann Skeen | Dietitian, Registered | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2020-08-19 |
| 1578181434 | Erika Gruber | Pharmacist | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2020-07-08 |
| 1740800267 | Katara Evonne Jackson | Dietitian, Registered | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2020-04-24 |
| 1891315560 | Emily Ann West | Dietitian, Registered | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2020-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619505724 | Michelle Lynn Esposito | Dietitian, Registered | 1st Floor Research Center - 50 North Dunlap St, Memphis, TN 38103 | 2020-04-01 |
| 1962030221 | Allison Burge Clayton | Dietitian, Registered | 50 N Dunlap, Nutrition Therapy Dept, 1st Floor Research Tower, Memphis, TN 38103 | 2020-03-31 |
| 1093375420 | Radar Ems, LLC | Social Worker | 50 S. B.b. King Blvd, Suite 350, Memphis, TN 38103 | 2019-06-18 |
| 1528529021 | Denise Andrews Matthews | Nursing Care | 342 Island Dr #105, Memphis, TN 38103 | 2019-03-27 |
| 1881160059 | Christopher Paul Hernandez | Nurse Practitioner | 877 Jeffeon Ave, Memphis, TN 38103 | 2018-10-15 |
| 1194245712 | Cameron Waters Clinard | Optometrist | 127 Isle Creek Dr, Memphis, TN 38103 | 2017-06-24 |
| 1750732582 | Amanda Leigh Eaves | Nurse Practitioner | 364 S Front St Ste 201, Memphis, TN 38103 | 2016-06-22 |
| 1417304569 | John Clark Shell | Family Medicine | 150 Harbor Creek Dr, Memphis, TN 38103 | 2016-05-18 |
| 1750753695 | Tomisha V. Byard | Nurse Practitioner | 718 Habor Bend Road, Memphis, TN 38103 | 2015-10-29 |
| 1053795179 | Melissa Anne Wilkes | Social Worker | 1240 Harbor River Drive, Memphis, TN 38103 | 2015-07-18 |
| Find all providers in zip 38103 | ||||
| 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 |
|---|---|---|---|---|
| 1497366678 | Punam Patel | Pharmacist | 3075 Lamar Ave, Memphis, TN 38114-6440 | 2020-08-12 |
| 1891315370 | Janell Lennice C Jackson | Pharmacist | 3670 Riverdale Road, Memphis, TN 38115 | 2020-04-24 |
| 1952935322 | Madison Ann Williams | Pharmacist | 1680 Century Center Pkwy Ste 15, Memphis, TN 38134-8827 | 2020-02-25 |
| 1558900290 | Jiderechukwu Ugonna Anyigbo | Pharmacist | 232 Keel Ave, Memphis, TN 38107-3736 | 2019-12-28 |
| 1740823525 | Erica Danielle Washington | Pharmacist | 6025 Walnut Grove Rd Ste 108, Memphis, TN 38120-2116 | 2019-10-23 |
| 1356983308 | Olivia Brooks Wingate | Pharmacist | 8700 W Trail Lake Dr Ste 205, Memphis, TN 38125-8205 | 2019-10-11 |
| 1891266201 | Sara Smigielski | Pharmacist | 5219 Sequoia Ave, Memphis, TN 38120-1544 | 2018-12-10 |
| 1104393313 | Christine Ven Handy | Pharmacist | 4667 Flamingo Rd, Memphis, TN 38117-6111 | 2018-10-25 |
| 1821595026 | Alan Carter | Pharmacist | 5293 Elvis Presley Blvd, Memphis, TN 38116-8233 | 2018-04-12 |
| 1104364728 | Heather Mullins | Pharmacist | 6949 Appling Farms Pkwy Ste 109, Memphis, TN 38133-4731 | 2017-02-02 |
| Find all providers in MEMPHIS | ||||
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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.