Bryana Elizabeth Clark, PHARMD

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

017326 Issued in KY

Practice address

152 N Buckman St
Shepherdsville, KY 40165-5900

Phone

(502) 543-2202

Fax

(502) 543-1040

NPI assigned

Aug 12, 2020

Last updated

Aug 12, 2020By the provider in NPPES

Sex

Female

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

Doctor of Pharmacy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Walgreen Co.

  dba Walgreens #10207

  • Pharmacy
  • Shepherdsville, KY
  • NPI 1619922978
  NPD
• Walgreen Co

  dba Walgreens #21605

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1528679628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 N BUCKMAN ST",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401655900",
            "telephone_number": "502-543-2202",
            "fax_number": "502-543-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 N BUCKMAN ST",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401655900",
            "telephone_number": "502-543-2202",
            "fax_number": "502-543-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "BRYANA",
        "middle_name": "ELIZABETH",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "KY",
            "license": "017326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina N. Caswell, PT
• Leslie Brooke Caughron, APRN
• Central Kentucky Optometric Associates PSC (Uptown EyeCare)
• Katie Louise Chasteen Mason, LMT
• Thomas Cherry, LMFT
• Jessica Lynn Clark, PHARMD
• Clarkson Optometry Midwest Inc. (20/20 EyeCare)
• Cami Coke, PHARMD
• Maressa Coley, NP
• Allison Rae Collins, PA-C

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Shepherdsville, KY
• Providers in Shepherdsville, KY by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.