REBECCA MAE CLARK


Address: 5804 1st Ave S, Birmingham, AL 35212-2524
Phone: 2053809540

REBECCA MAE CLARK (NPI# 1891346466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891346466
Entity Type Individual
Full Name REBECCA MAE CLARK
Credential PHARM. D.
Practice Address 5804 1st Ave S
Birmingham
AL 35212-2524
Mailing Address 125 Maple Leaf Trl
Wilsonville
AL 35186-5420
Practice Telephone 2053809540
Mailing Telephone 8505011783
Enumeration Date 2019-09-25
Last Update Date 2019-09-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 20977 AL Pharmacy Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
AL PHARMACIST 20977 01

Other Providers REBECCA CLARK

NPI Name Taxonomy Address Enumeration
1558978833 Rebecca Clark Massage Therapist 244 Madison Ave # 391, New York, NY 10016-2817 2020-09-30
1184130759 Rebecca Lee Clark Registered Nurse 2435 Kimberly Rd Ste 10n, Bettendorf, IA 52722-3572 2017-12-19
1144761099 Rebecca Clark Counselor 24401 W 39th St S, Goddard, KS 67052-8713 2017-03-11
1437589199 Rebecca Scoggin Clark Nurse Practitioner 413 Mcconnell Street, Jefferson, NC 28640 2013-11-16
1861557563 Rebecca Clark Respite Care 2703 S 37th Dr, Yuma, AZ 85364-5983 2006-12-25
1831112671 Rebecca Jand Clark Counselor 1501 San Pedro Se (116), Albuquerque, NM 87108 2006-07-25
1922067859 Rebecca A Clark Physician Assistant 664 N Main St, Pearson, GA 31642 2006-03-20
1124004700 Rebecca Elizabeth Clark Nurse Practitioner 1811 State St, Nashville, TN 37203-2205 2005-12-15
1841811098 Rebecca L Clark Behavior Technician 9900 Gilmore Ridge Rd, Nashville, IN 47448-9731 2020-04-29
1073149167 Rebecca Maria Clark Genetic Counselor, MS Upmc Children's Hospital of Pittsburgh, 4401 Penn Avenue, Pittsburgh, PA 15224-1334 2020-03-20

Office Location

Street Address 5804 1ST AVE S
City BIRMINGHAM
State AL
Zip Code 35212-2524

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679806798 Christ Health Center Inc Pharmacy 5804 1st Ave S, Birmingham, AL 35212-2524 2009-09-08
1710597703 Sarah Morgan Wood Pharmacist 5804 1st Ave S, Birmingham, AL 35212-2524 2020-08-04
1417426701 Christ Health Center Inc Clinic/Center 5804 1st Ave S, Birmingham, AL 35212-2524 2018-11-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992200448 Ford's Family Dentistry Dentist 6 61st Street North, Birmingham, AL 35212 2018-03-27
1821347766 Belynda Jo Adams Nurse Practitioner 6869 Fifth Avenue South, Hillcrest Behavioral Health Services, Birmingham, AL 35212 2012-09-06
1487914198 Elaine Frances Sides Dentist 5720 First Avenue South, Birmingham, Birmingham, AL 35212 2012-05-29
1043460835 Crossroads To Intervention, Inc Community/Behavioral Health 5601 1st Avenue North, Suite 107, Birmingham, AL 35212 2008-09-29
1265603823 Benjamin D. Williams Dmd Pa Dentist 100 57th St So, Birmingham, AL 35212 2008-03-21
1972989770 Jordan Wulz Pharmacist 5720 1st Ave S, Birmingham, AL 35212 2015-08-04
1770907941 Ryan Richmond General Practice 6000 West Highway 98, Pensacola, FL 35212 2014-02-09
1447287800 Hc Partnership Psychiatric Residential Treatment Facility 6869 5th Avenue South, Birmingham, AL 35212 2006-06-28
1265621809 Shannon Maureen Hartley Psychologist 6869 5th Ave South, Birmingham, AL 35212-1866 2007-10-19
1891800330 Delicia D Harvey Counselor 6869 5th Ave S, Birmingham, AL 35212-1866 2006-08-21
Find all providers in zip 35212

Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083250443 Donna Parker Sappington Pharmacist 200 Cahaba Park Cir Ste 200, Birmingham, AL 35242-8114 2019-11-20
1669015624 Karen M Fleming Pharmacist 700 19th St S Rm 1101, Birmingham, AL 35233-1927 2019-10-23
1932754819 Robert Allen Jones Pharmacist 1308 Narrows Point Bnd, Birmingham, AL 35242-8676 2019-08-07
1104383272 Sarah Grace Betts Pharmacist 3009 Alisa Way, Birmingham, AL 35243-5321 2019-02-26
1770064321 Joyce Yerman Coyle Pharmacist 5940 Trussville Crossings Pkwy, Birmingham, AL 35173 2018-08-22
1245719103 Amy Michelle Douglas Pharmacist 4907 Caldwell Mill Ln, Birmingham, AL 35242-4507 2018-08-11
1891271516 Stacey F Van Norman Pharmacist 2033 Forest Meadows Cir, Birmingham, AL 35242-3348 2018-07-16
1578058756 Darrow Gerrell Thomas Pharmacist 1004 Rue Maison Apt C, Birmingham, AL 35209-7252 2018-06-29
1457870487 Marilyn Bennett Pinson Pharmacist Walgreens Store #15144, 3020 Clairmont Ave S, Birmingham, AL 35205 2017-09-11
1669995882 Taylor Childress Pharmacist 700 19th St S # South, Birmingham, AL 35233-1927 2017-07-19
Find all providers in BIRMINGHAM

Competitor

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City BIRMINGHAM
Zip Code 35212

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Dataset Information

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.

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