Active NPI
Ashley Louise Clark, PHARMD
- Psychiatric Pharmacist
- Daytona Beac, FL
National Provider Identifier
1255628590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Pharmacist
- License
- PS46401
- Practice address
- 551 National Healthcare Drive
Daytona Beach VA Outpatient Clinic
Daytona Beac, FL 32608-1135 - Phone
- (352) 379-6062
- NPI assigned
- Jul 7, 2011
- Last updated
- May 6, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatric Pharmacist | 1835P1300X | PS46401 | FL | Primary |
Addresses
Primary practice location
551 National Healthcare Drive
Daytona Beach VA Outpatient Clinic
Daytona Beac, FL 32608-1135
Mailing address
140 Acklins Cir Apt 110
Daytona Beach, FL 32119-9771
Phone (386) 323-7500
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 |
|---|---|---|---|
| PS46401 | FL | MD | Psychiatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367798400000",
"number": "1255628590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 ACKLINS CIR APT 110",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321199771",
"telephone_number": "386-323-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "551 NATIONAL HEALTHCARE DRIVE",
"address_2": "DAYTONA BEACH VA OUTPATIENT CLINIC",
"city": "DAYTONA BEAC",
"state": "FL",
"postal_code": "326081135",
"telephone_number": "352-379-6062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "ASHLEY",
"middle_name": "LOUISE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-07",
"last_updated": "2013-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "FL",
"license": "PS46401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.