Clinton Pearson, PHARM.D., C.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS43164 Issued in FL

Practice address

1239 State Road 436
Casselberry, FL 32707-6447

Phone

(407) 679-0373

NPI assigned

Nov 13, 2019

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1861037830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 PENSACOLA LN",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 STATE ROAD 436",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327076447",
            "telephone_number": "407-679-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "CLINTON",
        "name_prefix": "Dr.",
        "credential": "PHARM.D., C.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-13",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS43164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "4076790616",
            "affiliation": "N",
            "address_1": "1239 State Road 436",
            "city": "Casselberry",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327076447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Aditi Patel
• Vinodbhai N Patel, RPH
• Daniel Lee Paulson, PHD
• Heather Marie Pavich, M.ED. BCBA
• Solange Paz Becil, APRN
• Justine Pearson
• Pediatrics Plaza
• Emily Pena Algarin
• Marisol Pena
• Tichina Penn

• Pharmacist in Casselberry, FL
• Providers in Casselberry, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.

Verify at the official NPI Registry.