Active NPI
Stephanie Clark, D. PH.
- Pharmacist
- Paris, TX
National Provider Identifier
1346406782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 45604
- Practice address
- 931 S Collegiate Dr
Paris, TX 75460-6307 - Phone
- (903) 785-5656
- Fax
- (903) 785-5657
- NPI assigned
- Aug 5, 2008
- 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 | 45604 | TX | Primary |
Addresses
Primary practice location
931 S Collegiate Dr
Paris, TX 75460-6307
Mailing address
3920 47TH St NE
Paris, TX 75462-3173
Phone (903) 737-8404
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217894400000",
"number": "1346406782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3920 47TH ST NE",
"city": "PARIS",
"state": "TX",
"postal_code": "754623173",
"telephone_number": "903-737-8404",
"fax_number": "903-785-5657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "931 S COLLEGIATE DR",
"city": "PARIS",
"state": "TX",
"postal_code": "754606307",
"telephone_number": "903-785-5656",
"fax_number": "903-785-5657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "STEPHANIE",
"credential": "D. PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-05",
"last_updated": "2008-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "45604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paris, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.