Active NPI
Sharon Redman Clark
- Pharmacist
- Aurora, IL
National Provider Identifier
1184905374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051033626
- Practice address
- 2986 Kirk Rd
Aurora, IL 60502-6000 - Phone
- (630) 375-0570
- NPI assigned
- Sep 1, 2011
- Last updated
- Sep 1, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051033626 | IL | Primary |
Addresses
Primary practice location
2986 Kirk Rd
Aurora, IL 60502-6000
Mailing address
2S406 Burning TRL
Wheaton, IL 60189-5906
Phone (630) 665-0542
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051033626 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314835200000",
"number": "1184905374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2S406 BURNING TRL",
"city": "WHEATON",
"state": "IL",
"postal_code": "601895906",
"telephone_number": "630-665-0542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2986 KIRK RD",
"city": "AURORA",
"state": "IL",
"postal_code": "605026000",
"telephone_number": "630-375-0570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "SHARON",
"middle_name": "REDMAN",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-01",
"last_updated": "2011-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051033626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.