Tara Elizabeth Clarke

Key facts

NPI

1639766256

Entity type

Individual (NPI type 1)

Primary specialty

Pharmacy Technician 183700000X

Practice address

1050 Brandywine Pkwy
Wilmington, DE 19803-1492

Phone

(302) 478-3200

NPI assigned

Dec 29, 2020

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 29, 2020.

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1639766256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 KATHERINE AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198084625",
            "telephone_number": "302-753-2512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 BRANDYWINE PKWY",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198031492",
            "telephone_number": "302-478-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "TARA",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-29",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "address_1": "1050 Brandywine Pkwy",
            "city": "Wilmington",
            "state": "DE",
            "country_code": "US",
            "postal_code": "198031492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmington, DE

• Bernard J Clark, MD
• Gregg P Clark
• Rachel M Clark
• Greta Fay Clarke
• Katina Letrice Clarke, LPC
• Peta Clarkson, M.D.
• Rondale Clarkson
• Rosemary K Clay, D.M.D.
• Timothy Jon Clay, D.M.D.
• Amanda Noreen Clayton, LMSW

All providers in Wilmington, DE · Pharmacy Technician in Delaware