Active NPI
William Clark, PHARMD
- Pharmacist
- Carrollton, KY
National Provider Identifier
1801324363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 018059
- Practice address
- 309 11TH St
Carrollton, KY 41008-1435 - Phone
- (502) 732-3207
- NPI assigned
- May 30, 2017
- Last updated
- May 30, 2017
- Sex
- Male
- 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 | 018059 | KY | Primary |
Addresses
Primary practice location
309 11TH St
Carrollton, KY 41008-1435
Mailing address
8006 Deronia Ave
Louisville, KY 40222-4848
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018059 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496102400000",
"number": "1801324363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8006 DERONIA AVE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402224848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 11TH ST",
"city": "CARROLLTON",
"state": "KY",
"postal_code": "410081435",
"telephone_number": "502-732-3207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-30",
"last_updated": "2017-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "018059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carrollton, KY
- CCMH Corporation (CCMH Outpatient Pharmacy)
- CCMH Corporation (Express Care of Vevay)
- CCMH Corporation (CCMH Foot and Ankle Center)
- CCMH Corporation (Carroll County Anesthesia Group)
- Erica A. Chowning, APRN
- Jennifer Ann Cole, APRN
- Commonwealth Pain Associates PLLC (Commonwealth Pain & Spine)
- Jack Alan Copley, DMIN, LMFT, IMFT
- Stephanie Lynn Crawford
- Jeaneen Robin Crutcher, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.