Timyata Renee Clark, PHARMD

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

2006026092 Issued in MO

Practice address

310 Great Circle Rd
Nashville, TN 37243-1700

Phone

(629) 259-1771

NPI assigned

Jan 5, 2024

Last updated

Jan 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Timyata Renee Williams Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1770353211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5523 TUCK RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420019566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 GREAT CIRCLE RD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372431700",
            "telephone_number": "629-259-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "TIMYATA",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "MO",
            "license": "2006026092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIMYATA",
            "last_name": "WILLIAMS",
            "middle_name": "RENEE",
            "prefix": "DR.",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ryan Clark, MS, ATC
• Sabrina Clark
• Sara L Clark, PHARMD
• Sarah Proffitt Clark, M.D.
• Shaniqua S Clark
• Valencia Clark
• Annabelle Clarke
• Charles David Clarke, M.D.
• Christopher Clarke, D.C.
• Courtney Clarke, RPH, PHARMD, MBA

• Pharmacotherapy Pharmacist in Nashville, TN
• Providers in Nashville, TN by specialty
• Pharmacotherapy Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.