Active NPI
Dewey Lee Clark, D.PH.
- Pharmacist
- Alcoa, TN
National Provider Identifier
1427188697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3974
- Practice address
- 260 Joule St
Alcoa, TN 37701-2459 - Phone
- (865) 738-0078
- NPI assigned
- Mar 6, 2007
- Sex
- Male
- 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 | 3974 | TN | Primary |
Addresses
Primary practice location
260 Joule St
Alcoa, TN 37701-2459
Mailing address
427 Navaho Dr
Seymour, TN 37865-5007
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blount Discount Pharmacy Inc | Past | Accepting new patients | |
| Blount Discount Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Alcoa, TN
- NPI 1316958994
-
- Community/Retail Pharmacy
- Alcoa, TN
- NPI 1942211529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427188697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "427 NAVAHO DR",
"city": "SEYMOUR",
"state": "TN",
"postal_code": "378655007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 JOULE ST",
"city": "ALCOA",
"state": "TN",
"postal_code": "377012459",
"telephone_number": "865-738-0078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "DEWEY",
"middle_name": "LEE",
"credential": "D.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "3974",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alcoa, TN
Sources for this page
- 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.