Active NPI
Karen M Clark, RPH
- Pharmacist
- Plymouth, MA
National Provider Identifier
1932484623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 23042
- Practice address
- 165 Samoset St
Plymouth, MA 02360-4822 - Phone
- (508) 591-3031
- Fax
- (508) 591-3034
- NPI assigned
- Oct 13, 2011
- Last updated
- Oct 13, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 23042 | MA | Primary |
Addresses
Primary practice location
165 Samoset St
Plymouth, MA 02360-4822
Mailing address
165 Samoset St
Plymouth, MA 02360-4822
Phone (508) 591-3031
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23042 | MA | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318464000000",
"number": "1932484623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 SAMOSET ST",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023604822",
"telephone_number": "508-591-3031",
"fax_number": "508-591-3034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 SAMOSET ST",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023604822",
"telephone_number": "508-591-3031",
"fax_number": "508-591-3034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "KAREN",
"middle_name": "M",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-13",
"last_updated": "2011-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "23042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.