BEVERLY A CLARK (NPI# 1992707814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992707814 |
| Entity Type | Individual |
| Full Name | BEVERLY A CLARK |
| Credential | RPH |
| Practice Address |
5021 Monck Ct Wilmington NC 28409-3173 |
| Practice Telephone | 9107915485 |
| Mailing Telephone | 9107915485 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2012-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 7408 | NC | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518337732 | Beverly Clark | Nurse Practitioner | 803 West Main Street, Mountain View, AR 72560 | 2015-09-30 |
| 1861742777 | Beverly Elaine Clark | Occupational Therapist | 10803 Par Lane, Wichita, KS 67212-5948 | 2012-09-18 |
| 1649404625 | Beverly Marie Clark | Family Medicine | 1004 E. Madison St, Yates Center, KS 66783-1314 | 2009-05-06 |
| 1033655675 | Beverly Clark | Technician, Other | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2017-01-06 |
| 1770583924 | Beverly Anne-marie Clark | Specialist | 321 Genesee St, Oneida, NY 13421 | 2005-07-29 |
| Street Address |
5021 MONCK CT |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28409-3173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952916728 | Emily Savannah Holland | Specialist/Technologist | 1150 King's Hwy, Wilmington, NC 28409 | 2020-09-09 |
| 1912373465 | Thomas Malenfant | Hearing Instrument Specialist | 474 New Centre Drive, #6, Wilmington, NC 28409 | 2015-08-19 |
| 1720482862 | Leslie Morton Garris | Pharmacist | 6013 Chancellorville Drive, Wilmington, NC 28409 | 2014-10-17 |
| 1659621720 | Charles Warren Moorehead | Social Worker | 5710 Oleander Dr. Suite 208, Wilmington, NC 28409 | 2012-09-14 |
| 1992972020 | Nancy Beth Kotz | Social Worker | 6211 Terrapin Ct, Wilmington, NC 28409 | 2008-05-08 |
| 1366611089 | Michael Royce Penland | Psychologist | 5002-1 Hewletts Run, Wilmington, NC 28409 | 2008-02-27 |
| 1184755092 | Keith W Mann | Dentist | 818-101 Pine Grove Drive, Wilmington, NC 28409 | 2007-03-09 |
| 1477650554 | Jeffrey Beecham Chick | Specialist | 1201 Porches Dr, Suite 2, Wilmington, NC 28409 | 2006-09-20 |
| 1407964067 | Richard A. Lally | Counselor | 5425 Golden Eagle Court, Wilmington, NC 28409 | 2006-08-25 |
| 1598290520 | Monaca Lachman | Counselor | 6020 Leeward Ln, Wilmington, NC 28409-0129 | 2017-04-27 |
| Find all providers in zip 28409 | ||||
| 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 |
|---|---|---|---|---|
| 1649891649 | Walter G Scott | Pharmacist | 1601 Kirkwood Hwy Rm 139, Wilmington, DE 19805-4917 | 2020-04-30 |
| 1366081440 | Lauren E Harvey | Pharmacist | 3601 Saint Francis Dr, Wilmington, NC 28409-6603 | 2020-01-06 |
| 1669016846 | Matilda N Clement | Pharmacist | 800 W 4th St Ste 501, Wilmington, DE 19801-2054 | 2019-10-31 |
| 1417514704 | Joshua Kim | Pharmacist | 824 N Market St Ste 103, Wilmington, DE 19801-4937 | 2019-05-22 |
| 1356830871 | Ashley Marie Scopelliti | Pharmacist | 3521 Silverside Rd Ste 1e, Wilmington, DE 19810-4900 | 2018-05-10 |
| 1689173429 | Sarah Soora Kang | Pharmacist | 209 Christina Landing Dr, Wilmington, DE 19801-5248 | 2018-02-07 |
| 1639681141 | Kelly Ann Steeves | Pharmacist | 601 Delaware Ave Fl 2, Wilmington, DE 19801-1462 | 2017-10-25 |
| 1861910903 | Taryn Hinners | Pharmacist | 1201 N Market St, Wilmington, DE 19801-1147 | 2017-09-08 |
| 1760928709 | Amalia Mistreanu | Pharmacist | 3128 Braemar Ln, Wilmington, NC 28409-8569 | 2017-01-15 |
| 1235590993 | Jingbo Sun | Pharmacist | 1308 Centerville Rd., Wilmington, DE 19808 | 2016-03-09 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28409 |
Please comment or provide details below to improve the information on BEVERLY A 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.