MISTY DAWN CLARK (NPI# 1881771533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881771533 |
| Entity Type | Individual |
| Full Name | MISTY DAWN CLARK |
| Credential | R.PH. |
| Practice Address |
2721 Alabama Highway 20 Town Creek AL 35672 |
| Mailing Address |
223 Fawn Ln Killen AL 35645-8383 |
| Practice Telephone | 2566853530 |
| Practice Fax Number | 2566853523 |
| Mailing Telephone | 2562720556 |
| Mailing Fax Number | 2562720556 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 13766 | AL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780870196 | Misty Dawn Clark | Dentist | 83 Oak Ridge Ct, Prestonsburg, KY 41653 | 2007-09-19 |
| 1023525045 | Misty Clark | Speech-Language Pathologist | 401 Indiana Ave, Mayfield, KY 42066-1766 | 2017-12-30 |
| Street Address |
2721 ALABAMA HIGHWAY 20 |
| City | TOWN CREEK |
| State | AL |
| Zip Code | 35672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508077371 | Sabrina Kenithe Arnold | Pharmacist | 2721 Alabama Hwy 20, Town Creek, AL 35672 | 2007-05-24 |
| 1225104417 | Southern Rural Health Care Consortium, Inc. | Clinic/Center | 1841 Al Hwy 20, Town Creek, AL 35672 | 2006-11-28 |
| 1154340750 | Wears Drugs Inc | Pharmacy | 2721 Al Hwy 20, Town Creek, AL 35672 | 2006-07-18 |
| 1629097233 | Flavil Lee Wear II | Pharmacist | 2721 Al Hwy 20, Town Creek, AL 35672 | 2006-07-18 |
| 1265629455 | Southern Rural Health Care Consortium | Nurse Practitioner | 1841 Al Hwy 20, Town Creek, AL 35672-0369 | 2007-10-02 |
| 1346437530 | Southern Rural Health Care Consortium | Family Medicine | 1841 Al Hwy 20, Town Creek, AL 35672-0369 | 2007-10-02 |
| 1548387509 | Frank Bartlett Sanders | Chiropractor | 1552 Railroad St, Town Creek, AL 35672-3983 | 2007-03-23 |
| 1083178818 | Shoals Np Homecare, LLC | Home Health | 11493 River Rd, Town Creek, AL 35672-9027 | 2019-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508099151 | Family Health Care Clinic, Inc. | Clinic/Center | 1841 Alabama Highway 20, Town Creek, AL 35646 | 2009-08-31 |
| 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 |
|---|---|---|---|---|
| 1508077371 | Sabrina Kenithe Arnold | Pharmacist | 2721 Alabama Hwy 20, Town Creek, AL 35672 | 2007-05-24 |
| 1629097233 | Flavil Lee Wear II | Pharmacist | 2721 Al Hwy 20, Town Creek, AL 35672 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245830934 | Casey Delane Sumner | Pharmacist | 1930 Pleasant Ridge Loop, Sylacauga, AL 35150 | 2020-10-30 |
| 1225637929 | Jessica Lynn Bogucki | Pharmacist | 5324 Bristolwood Cir, Northport, AL 35475-5938 | 2020-10-22 |
| 1770181018 | Patrick R Brown | Pharmacist | 1167 County Road 437 Ste A, Cullman, AL 35055-0203 | 2020-10-09 |
| 1124625835 | Nancy Kickliter | Pharmacist | 404 Beach Island Trce, Dadeville, AL 36853-4615 | 2020-10-06 |
| 1700483484 | Abigail Cooke | Pharmacist | 5636 Vista Bonita Dr N, Mobile, AL 36609-2522 | 2020-10-05 |
| 1750988846 | Margaret Braden | Pharmacist | 561 Sr-69, Hanceville, AL 35077 | 2020-10-02 |
| 1891302857 | Christopher Hamilton Vought | Pharmacist | 3201 Endeavor Ln, Vestavia, AL 35242-8250 | 2020-09-24 |
| 1659988566 | Joshua Manning | Pharmacist | 459 Dauphin St Apt B, Mobile, AL 36602-2413 | 2020-09-24 |
| 1396352456 | Lindsey Hawkins | Pharmacist | 350 County Road 723, Cullman, AL 35055-9040 | 2020-09-23 |
| 1548874266 | Generational Care LLC | Pharmacist | 4748 Regal Dr, Montgomery, AL 36116-4415 | 2020-09-01 |
| Find all providers with the same taxonomy | ||||
| City | TOWN CREEK |
| Zip Code | 35672 |
Please comment or provide details below to improve the information on MISTY DAWN 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.