Raymond Lee Clark Jr., PHARM.D.

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

15439 Issued in AL

Practice address

1316 Noble St Ste 1-C
Anniston, AL 36201-4643

Phone

(256) 439-6393

Fax

(256) 235-2751

NPI assigned

Dec 15, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

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

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.

• Quality of Life Health Services Inc.

  • Pharmacy
  • Anniston, AL
  • NPI 1710008768
  NPD (past)

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1720064447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 CHRISTINE AVE APT 103",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362075778",
            "telephone_number": "256-689-2083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 NOBLE ST STE 1-C",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362014643",
            "telephone_number": "256-439-6393",
            "fax_number": "256-235-2751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 E 10th St",
            "address_purpose": "LOCATION",
            "city": "Anniston",
            "state": "AL",
            "postal_code": "362074716",
            "country_code": "US",
            "telephone_number": "248-410-3219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "RAYMOND",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "AL",
            "license": "15439",
            "primary": true
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "MI",
            "license": "5302027522",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chiroenergetics,Inc
• Christopher Eric Reaves
• Whitney Michelle Clairborne
• Abby Pullen Clark, PHD
• Dennis Dewayne Clark, M.D.
• Clear Vision Boutique LLC
• Clear Vision Optical, LLC
• Clearview Behavioral Services, LLC
• Cleburne Medical Clinic
• Patricia H Clokey, MEDICAL DOCTOR

• Pharmacotherapy Pharmacist in Anniston, AL
• Providers in Anniston, AL by specialty
• Pharmacotherapy Pharmacist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.