John Elbert Clark, PHARMD

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

PS20258 Issued in FL

Practice address

1611 NW 12TH Ave
Department of Pharmacy Services
Miami, FL 33136-1005

Phone

(305) 585-1197

Fax

(305) 585-7412

NPI assigned

Feb 11, 2009

Sex

Male

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

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355961600000",
    "number": "1972742138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12901 BRUCE B. DOWNS BLVD",
            "address_2": "DEPARTMENT OF PHARMACOTHERAPEUTICS AND CLINICAL RESEARC",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336124749",
            "telephone_number": "813-974-1305",
            "fax_number": "813-905-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVE",
            "address_2": "DEPARTMENT OF PHARMACY SERVICES",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005",
            "telephone_number": "305-585-1197",
            "fax_number": "305-585-7412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "JOHN",
        "middle_name": "ELBERT",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-11",
        "last_updated": "2012-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "FL",
            "license": "PS20258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol L Clark, LMHC
• Craig Alan Clark, M.S., R.D.
• Curtis Robert Clark, P.T.
• Dwight Lamont Clark
• Gabriella Gonzalez Clark, PT, DPT
• Lian-Kim Clark
• Michael Joseph Clark
• Tahnee Morgan Clark, APRN
• Theodore Ronald Clark Jr.
• Dayna J Clarke-Cameron, M.D.

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Miami, FL
• Providers in Miami, FL by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; 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.