Gregory T Clark, RPH, BCOP

Primary specialty

Oncology PharmacistTaxonomy code 1835X0200X

License

037379 Issued in NY

Practice address

1425 Portland Ave
Lipson Cancer Center
Rochester, NY 14621-3001

Phone

(585) 922-5574

Fax

(585) 922-5303

NPI assigned

Mar 11, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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

{
    "created_epoch": "1173571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225160773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 TINKER TAVERN RD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145808944",
            "telephone_number": "585-671-3438",
            "fax_number": "585-922-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 PORTLAND AVE",
            "address_2": "LIPSON CANCER CENTER",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213001",
            "telephone_number": "585-922-5574",
            "fax_number": "585-922-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "GREGORY",
        "middle_name": "T",
        "credential": "RPH, BCOP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835X0200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Oncology",
            "state": "NY",
            "license": "037379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Clark
• Danielle Clark, NP
• Deborah Clark, RN
• Emily Clark, DO
• Gregory D Clark, PT
• Jadira Jannisse Clark
• James Clark, RPH
• John C Clark, CRNA
• Katherine Henderson Clark, PSY. D.
• Katherine Patricia Clark, LMHC

• Oncology Pharmacist in Rochester, NY
• Providers in Rochester, NY by specialty
• Oncology Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.