DR. JEFFREY CLEMENTS (NPI# 1972101053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972101053 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY CLEMENTS |
| Credential | PHARMD |
| Practice Address |
230 S Main St Elkhart IN 46516-3120 |
| Practice Telephone | 5742954333 |
| Practice Fax Number | 5745226265 |
| Mailing Telephone | 5742954333 |
| Mailing Fax Number | 5745226265 |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2020-10-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 26021908A | IN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154552875 | Jeffrey Clements | Optometrist | 1455 W Main St, Sun Prairie, WI 53590-1837 | 2009-07-29 |
| Street Address |
230 S MAIN ST |
| City | ELKHART |
| State | IN |
| Zip Code | 46516-3120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619575750 | Hassen A Hakim | Pharmacist | 230 S Main St, Elkhart, IN 46516-3120 | 2020-10-12 |
| 1548206345 | Hakim Healthcare Corporation | Pharmacy | 230 S Main St, Elkhart, IN 46516-3120 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558974675 | Courtney Rae Lawson | Nurse Practitioner | 1178 Fremont Ct., Elkhart, IN 46516 | 2020-08-28 |
| 1932690955 | Lisa Cooper | Counselor | 529 S 2nd St, Elkhart, IN 46516 | 2018-05-24 |
| 1780183558 | Evolve Chiropractic, LLC | Chiropractor | 5301 Beck Dr. Suite 3, Elkhart, IN 46516 | 2018-02-07 |
| 1790215168 | Cutting Edge Integrative Pain Centers LLC | Internal Medicine | 242 Waterfall Dr Ste B, Elkhart, IN 46516 | 2017-06-18 |
| 1831448745 | Planned Parenthood of Indiana Elkhart | Clinic/Center | 505 S. Third St., Suite 160, Elkhart, IN 46516 | 2012-09-06 |
| 1588920128 | Physical Therapy Professionals PC | Clinic/Center | 932 Parkway Ave, Ste. B, Elkhart, IN 46516 | 2012-04-09 |
| 1821369091 | Marek Serwatka | Physical Therapist | 932 Parkway Ave Ste B, Elkhart, IN 46516 | 2012-01-19 |
| 1538459904 | Rose M. Mwania | Nurse Anesthetist, Certified Registered | 1004 Parkway Ave Ste A, Elkhart, IN 46516 | 2011-04-19 |
| 1487894838 | Jack Alan Turnock | Dentist | 330 West Lexington Ave, Suite 201, Elkhart, IN 46516 | 2009-02-25 |
| 1225207285 | Wal-mart Stores East, Lp | Eyewear Supplier (Equipment, not the service) | 30830 Old Us 33, Elkhart, IN 46516 | 2008-02-25 |
| Find all providers in zip 46516 | ||||
| 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 |
|---|---|---|---|---|
| 1033735998 | Pappachan Santosh | Pharmacist | 202 S Nappanee St, Elkhart, IN 46514-1952 | 2020-06-17 |
| 1457743585 | Raymond Kraucunas | Pharmacist | 102 E Hively Ave., Elkhart, IN 46517 | 2015-02-26 |
| 1043644230 | Susan Widup | Pharmacist | 3101 Northview Dr, Elkhart, IN 46514-6748 | 2013-08-25 |
| 1518241488 | Daniel John Hartstein | Pharmacist | 58887 Spring Creek Trl, Elkhart, IN 46516-6272 | 2011-10-10 |
| 1053694265 | Paul A. Price | Pharmacist | 1400 Cassopolis St., Elkhart, IN 46514 | 2011-09-23 |
| 1063795615 | Brian Nauman | Pharmacist | 1704 Brookwood Dr, Elkhart, IN 46514-4237 | 2011-09-21 |
| 1427023480 | C & R Clinic Pharmacy Inc. of Elkhart | Pharmacist | 411 Sunset Drive, Elkhart, KS 67950-0962 | 2006-02-22 |
| 1467053728 | Jenna Lohr | Pharmacist | 30830 Old Us 20, Elkhart, IN 46514-9481 | 2020-11-03 |
| 1821698440 | Brendan Ugwoke | Pharmacist | 30830 Old Us 20, Elkhart, IN 46514-9481 | 2020-11-01 |
| 1386244390 | Elena Ugwoke | Pharmacist | 175 County Road 6 W, Elkhart, IN 46514-5557 | 2020-10-28 |
| Find all providers in ELKHART | ||||
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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.