Active NPI
Richard Glenn Clement, R. PH
- Pharmacist
- Cadiz, KY
National Provider Identifier
1710089099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 7910
- Practice address
- 266 E. Main St.
Cadiz, KY 42211-0390 - Phone
- (270) 522-3211
- Fax
- (270) 522-5479
- NPI assigned
- Sep 5, 2006
- Last updated
- Jul 8, 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 | 7910 | KY | Primary |
Addresses
Primary practice location
266 E. Main St.
Cadiz, KY 42211-0390
Mailing address
578 Blue Springs Blvd
Cadiz, KY 42211-8758
Phone (270) 924-1191
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7910 | KY | MD | Pharmacist |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710089099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "578 BLUE SPRINGS BLVD",
"city": "CADIZ",
"state": "KY",
"postal_code": "422118758",
"telephone_number": "270-924-1191",
"fax_number": "270-924-1191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "266 E. MAIN ST.",
"city": "CADIZ",
"state": "KY",
"postal_code": "422110390",
"telephone_number": "270-522-3211",
"fax_number": "270-522-5479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMENT",
"first_name": "RICHARD",
"middle_name": "GLENN",
"name_prefix": "Mr.",
"credential": "R. PH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "7910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cadiz, KY
- David B Bostick III
- Jinna-Lee Bower, RN ARNP
- Cadiz Family Care Clinic, LLC
- Cadiz Health Facilities LP (Shady Lawn Nursing and Rehabilitation Center)
- Crisann Leigh Chandler, SLP-CCC
- Kelly Cloern, PTA
- Terah Nicole Cofield, APRN
- Mary Elizabeth Collier, OTR/L
- Kenneth Davis, PHARM.D.
- Sally F Denton, LCSW
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.