Active NPI
Ned Clark Jr., RPH
- Pharmacist
- Nashville, NC
National Provider Identifier
1760887723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 7005
- Practice address
- 261 Private LN
Nashville, NC 27856-8114 - Phone
- (252) 908-3776
- NPI assigned
- Nov 1, 2014
- Last updated
- Nov 1, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | 7005 | NC | Primary |
Addresses
Primary practice location
261 Private LN
Nashville, NC 27856-8114
Mailing address
PO Box 337
Red Oak, NC 27868-0337
Phone (252) 908-3776
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 |
|---|---|---|---|
| 7005 | NC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414800000000",
"number": "1760887723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 337",
"city": "RED OAK",
"state": "NC",
"postal_code": "278680337",
"telephone_number": "252-908-3776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "261 PRIVATE LN",
"city": "NASHVILLE",
"state": "NC",
"postal_code": "278568114",
"telephone_number": "252-908-3776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "NED",
"name_suffix": "Jr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-11-01",
"last_updated": "2014-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "7005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nashville, NC
- By Faith Home Care Services, Inc
- Phillip Carlisle, PHARMD
- Carolina Physical Therapy Associates LLC
- Carolina Physical Therapy Associates LLC (CORA Physical Therapy - Nashville)
- Dessie Clark, RPH
- Jamie Lancaster Clements
- Jamie Sykes Clemmons, RN
- Carla Cooper, DPT, GCS
- Sandy Josephine Cortez
- County of Nash (Nash County Health Department CAP)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.