Active NPI
Patrick Gerard Clay, PHARMD
- Pharmacotherapy Pharmacist
- Fort Worth, TX
National Provider Identifier
1811461494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 52676
- Practice address
- 3500 Camp Bowie Blvd
Fort Worth, TX 76107-2644 - Phone
- (817) 735-2798
- Fax
- (817) 735-2603
- NPI assigned
- Jan 16, 2019
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 52676 | TX | Primary |
Addresses
Primary practice location
3500 Camp Bowie Blvd
Fort Worth, TX 76107-2644
Mailing address
PO Box 470186
Fort Worth, TX 76147-0186
Phone (816) 536-0974
Other practice location 1
219 Sunset Ave Ste 116A
Dallas, TX 75208-4531
Phone (972) 807-7370
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 |
|---|---|---|---|
| 52676 | TX | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547596800000",
"number": "1811461494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 470186",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761470186",
"telephone_number": "816-536-0974",
"fax_number": "817-735-2603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 CAMP BOWIE BLVD",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761072644",
"telephone_number": "817-735-2798",
"fax_number": "817-735-2603"
}
],
"practiceLocations": [
{
"address_1": "219 Sunset Ave Ste 116A",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752084531",
"country_code": "US",
"telephone_number": "972-807-7370",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLAY",
"first_name": "PATRICK",
"middle_name": "GERARD",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-01-16",
"last_updated": "2019-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "TX",
"license": "52676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.