Emily Brooke Clark, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PR68671 Issued in ME

Practice address

99 Main St
Gorham, ME 04038-1380

Phone

(207) 839-6551

Fax

(207) 839-3257

NPI assigned

Nov 17, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hannaford Bros Co LLC

  • Community/Retail Pharmacy
  • Portland, ME
  • NPI 1174631550
  NPD (past)
• Hannaford Bros Co LLC

  • Community/Retail Pharmacy
  • Gorham, ME
  • NPI 1295843688
  NPD (past)
• Hannaford Bros. Co., LLC

  • Community/Retail Pharmacy
  • Scarborough, ME
  • NPI 1861175622
  NPD (past)

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1922601434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 MAIN ST",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040381380",
            "telephone_number": "207-839-6551",
            "fax_number": "207-839-3257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 MAIN ST",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040381380",
            "telephone_number": "207-839-6551",
            "fax_number": "207-839-3257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "EMILY",
        "middle_name": "BROOKE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-17",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ME",
            "license": "PR68671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aimee Joy Cartier, MS
• Thomas Philip Caswell
• Tyler Chamberlin, DPT
• Chelsea Feeney, LCSW
• Chiropractic Clinic of Gorham PC Inc
• Kimberly L Clark, OT
• Andrew Coffin, BHP, DSP, CRMA
• Community Pharmacies LLC.
• Community Pharmacies, LLC.
• Nicole Rose Constantineau, DPT

• Pharmacist in Gorham, ME
• Providers in Gorham, ME by specialty
• Pharmacist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.