Active NPI
Adam Clarke, R.PH.
- Pharmacist
- Pensacola, FL
National Provider Identifier
1811219264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS38527
- Practice address
- 235 E Nine Mile Rd
Pensacola, FL 32534-3150 - Phone
- (850) 484-7554
- Fax
- (850) 478-9759
- NPI assigned
- Feb 25, 2010
- 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 | PS38527 | FL | Primary |
Addresses
Primary practice location
235 E Nine Mile Rd
Pensacola, FL 32534-3150
Mailing address
235 E Nine Mile Rd
Pensacola, FL 32534-3150
Phone (850) 484-7554
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS38527 | Other | FL | PHARMACY LICENSE |
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 |
|---|---|---|---|
| PS38527 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267056000000",
"number": "1811219264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 E NINE MILE RD",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325343150",
"telephone_number": "850-484-7554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 E NINE MILE RD",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325343150",
"telephone_number": "850-484-7554",
"fax_number": "850-478-9759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARKE",
"first_name": "ADAM",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-25",
"last_updated": "2010-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS38527",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE",
"identifier": "PS38527",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.