Individual provider Active NPI

Natalie Anne Clark, PHARMD

  • Pharmacist
  • Frisco, TX
National Provider Identifier
1174038830
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
50581 Issued in TX
Practice address
10530 John W Elliott Dr Ste 100
Frisco, TX 75033-2014
Phone
(800) 424-9002
NPI assigned
Dec 4, 2017
Last updated
Apr 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 019782 LA
Pharmacist 183500000X 50581 TX Primary

Addresses

Primary practice location

10530 John W Elliott Dr Ste 100
Frisco, TX 75033-2014

Mailing address

200 Cody Rd
Ennis, TX 75119-9736
Phone (225) 270-4491

Other practice location 1

219 Sunset Ave Ste 116A
Dallas, TX 75208-4531
Phone (469) 749-7822

Other practice location 2

4907 Spring Ave Ste 101
Dallas, TX 75210-1316
Phone (214) 565-8551

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

LicenseStateTypeSpecialty
50581TXMDSocial Worker
019782LAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1174038830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CODY RD",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751199736",
            "telephone_number": "225-270-4491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10530 JOHN W ELLIOTT DR STE 100",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750332014",
            "telephone_number": "800-424-9002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "219 Sunset Ave Ste 116A",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752084531",
            "country_code": "US",
            "telephone_number": "469-749-7822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4907 Spring Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752101316",
            "country_code": "US",
            "telephone_number": "214-565-8551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "NATALIE",
        "middle_name": "ANNE",
        "name_prefix": "Miss",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-04",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "019782",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "50581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.