Active NPI
David Weston Clark, PHARM.D.
- Pharmacist
- Foley, AL
National Provider Identifier
1912337700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17360
- Practice address
- 110 E Azalea Ave
Foley, AL 36535-2540 - Phone
- (251) 424-1488
- NPI assigned
- Nov 15, 2013
- Last updated
- Nov 15, 2013
- 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 | 17360 | AL | Primary |
Addresses
Primary practice location
110 E Azalea Ave
Foley, AL 36535-2540
Mailing address
110 E Azalea Ave
Foley, AL 36535-2540
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 |
|---|---|---|---|
| 17360 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medistat RX, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384473600000",
"number": "1912337700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 E AZALEA AVE",
"city": "FOLEY",
"state": "AL",
"postal_code": "365352540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 E AZALEA AVE",
"city": "FOLEY",
"state": "AL",
"postal_code": "365352540",
"telephone_number": "251-424-1488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "DAVID",
"middle_name": "WESTON",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-15",
"last_updated": "2013-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "17360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Foley, AL
- Stephanie Christensen, CRNP
- Sharon Elaine Christopher, CRNA
- Perri Gilbert Cimo, DO
- Miranda Brooke Cino, ARNP
- Danielle Elizabeth Clark, FNP-C
- Clay Dental (Gulf Coast Dental)
- Clearlyusa.Com, L.L.C.
- Coastal Anesthesia-South Baldwin, PC
- Coastal Chiropractic and Acupuncture LLC
- Coastal Chiropractic L.L.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.