Active NPI
Catherine Clark
- Pharmacist
- Asheboro, NC
National Provider Identifier
1710136056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6343
- Practice address
- 700 N Fayetteville St
Asheboro, NC 27203-4611 - Phone
- (336) 625-8650
- Fax
- (336) 636-5920
- NPI assigned
- Sep 11, 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 | 6343 | NC | Primary |
Addresses
Primary practice location
700 N Fayetteville St
Asheboro, NC 27203-4611
Mailing address
700 N Fayetteville St
Asheboro, NC 27203-4611
Phone (336) 625-8650
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6343 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221091200000",
"number": "1710136056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 N FAYETTEVILLE ST",
"city": "ASHEBORO",
"state": "NC",
"postal_code": "272034611",
"telephone_number": "336-625-8650",
"fax_number": "336-636-5920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 N FAYETTEVILLE ST",
"city": "ASHEBORO",
"state": "NC",
"postal_code": "272034611",
"telephone_number": "336-625-8650",
"fax_number": "336-636-5920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "CATHERINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-11",
"last_updated": "2008-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "6343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Asheboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.