Active NPI
Kristofer Clarke
- Pharmacist
- Hilton Head Island, SC
National Provider Identifier
1811357783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 36231
- Practice address
- 85 Mathews Dr
Hilton Head Island, SC 29926-3609 - Phone
- (843) 681-8363
- Fax
- (843) 681-7824
- NPI assigned
- Mar 4, 2016
- Last updated
- Mar 4, 2016
- 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 | 36231 | SC | Primary |
Addresses
Primary practice location
85 Mathews Dr
Hilton Head Island, SC 29926-3609
Mailing address
85 Mathews Dr
Hilton Head Island, SC 29926-3609
Phone (843) 681-8363
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36231 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457049600000",
"number": "1811357783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 MATHEWS DR",
"city": "HILTON HEAD ISLAND",
"state": "SC",
"postal_code": "299263609",
"telephone_number": "843-681-8363",
"fax_number": "843-681-7824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 MATHEWS DR",
"city": "HILTON HEAD ISLAND",
"state": "SC",
"postal_code": "299263609",
"telephone_number": "843-681-8363",
"fax_number": "843-681-7824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARKE",
"first_name": "KRISTOFER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-03-04",
"last_updated": "2016-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "36231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hilton Head Island, SC
- Lisette Cifaldi, LISW-CP
- Clare J Charles Lisw-CP LLC
- Ella Karen Clark, PA
- Kristen Ann Clark, PA-C
- Matthew Michael Clark, PT
- Nicole Lee Clegg, APRN, FNP-C
- Clemson Sports Medicine and Rehabilitation (Clemson PT & Spine Rehab)
- Clemson Sports Medicine and Rehabilitation Inc (Island Physical Therapy)
- Clinical Associates of Hilton Head,P.C
- Coastal Anesthesiology Associates, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.