Kirsten Clark
Individual provider Active NPI Pharmacist · Carnegie, PA
NPI 1801207352 · NPPES record last updated Mar 17, 2015
Key facts
- NPI
- 1801207352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP447778 (PA)
- Practice address
- 500 Noblestown Rd
Carnegie, PA 15106-1230 - Phone
- (412) 353-4184
- NPI assigned
- May 17, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP447778 | PA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP447778 | PA | Yes |
Addresses
Primary practice location
500 Noblestown Rd
Carnegie, PA 15106-1230
Mailing address
500 Noblestown Rd
Carnegie, PA 15106-1230
Phone (412) 353-4184
Other providers in Carnegie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.