Active NPI
Drue Clark, PHARMD
- Ambulatory Care Pharmacist
- Henderson, KY
National Provider Identifier
1164971594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 021166
- Practice address
- 1300 Merritt Dr
Henderson, KY 42420-2788 - Phone
- (270) 824-0064
- NPI assigned
- Sep 27, 2016
- Last updated
- Jul 31, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 26028581A | IN | |
| Ambulatory Care Pharmacist | 1835P2201X | 23480 | NC | |
| Ambulatory Care Pharmacist | 1835P2201X | 021166 | KY | Primary |
Addresses
Primary practice location
1300 Merritt Dr
Henderson, KY 42420-2788
Mailing address
1 Hospital Dr
3Rd Floor, Suite 3201
Asheville, NC 28801-4550
Other practice location 1
350 W Columbia St
Evansville, IN 47710-1782
Phone (812) 450-3990
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26028581A | IN | MD | Ambulatory Care Pharmacist |
| 021166 | KY | MD | Ambulatory Care Pharmacist |
| 23480 | NC | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596153600000",
"number": "1164971594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HOSPITAL DR",
"address_2": "3RD FLOOR, SUITE 3201",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288014550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 MERRITT DR",
"city": "HENDERSON",
"state": "KY",
"postal_code": "424202788",
"telephone_number": "270-824-0064"
}
],
"practiceLocations": [
{
"address_1": "350 W Columbia St",
"address_purpose": "LOCATION",
"city": "Evansville",
"state": "IN",
"postal_code": "477101782",
"country_code": "US",
"telephone_number": "812-450-3990",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLARK",
"first_name": "DRUE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-27",
"last_updated": "2020-07-31",
"certification_date": "2020-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "IN",
"license": "26028581A",
"primary": false
},
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "NC",
"license": "23480",
"primary": false
},
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "KY",
"license": "021166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, KY
- Myles T Chavira, NP
- Diana Marie Cherry, P.T.A.
- Maliyah Devon Chinn
- Muthamilan Chinnairusan, M.D.
- Christina Gail Hanor Mitchell (Mitchell Speech Therapy)
- Leslie Mason Clark, R.D., L.D.
- Jinnyi Clements, AGCNS-BC
- Andrea Lynn Clemons
- Macy Lura Thompson Clevidence, APRN FNP-C
- Paula Renae Collins, OTR, ATP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.