Active NPI
Linda Sue Clark, R.PH.
- Pharmacist
- Elkview, WV
National Provider Identifier
1730403783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP0005741
- Practice address
- 201 Crossings Mall
Elkview, WV 25071 - Phone
- (304) 965-7261
- NPI assigned
- Mar 19, 2010
- Last updated
- Mar 19, 2010
- 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 | RP0005741 | WV | Primary |
Addresses
Primary practice location
201 Crossings Mall
Elkview, WV 25071
Mailing address
807 Basil Rd
Charleston, WV 25314-1813
Phone (304) 342-8271
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 |
|---|---|---|---|
| RP0005741 | WV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268956800000",
"number": "1730403783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "807 BASIL RD",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253141813",
"telephone_number": "304-342-8271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 CROSSINGS MALL",
"city": "ELKVIEW",
"state": "WV",
"postal_code": "25071",
"telephone_number": "304-965-7261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "LINDA",
"middle_name": "SUE",
"name_prefix": "Mrs.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-19",
"last_updated": "2010-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0005741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elkview, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.