Active NPI
Linda C Clark, R.PH.
- Pharmacist
- Haines City, FL
National Provider Identifier
1972819498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS23051
- Practice address
- 36019 Hwy 27
Haines City, FL 33844-3740 - Phone
- (863) 421-0639
- Fax
- (863) 421-0578
- NPI assigned
- Aug 21, 2010
- 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 | PS23051 | FL | Primary |
Addresses
Primary practice location
36019 Hwy 27
Haines City, FL 33844-3740
Mailing address
36019 Hwy 27
Haines City, FL 33844-3740
Phone (863) 421-0639
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 |
|---|---|---|---|
| PS23051 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282348800000",
"number": "1972819498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36019 HWY 27",
"city": "HAINES CITY",
"state": "FL",
"postal_code": "338443740",
"telephone_number": "863-421-0639",
"fax_number": "863-421-0578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36019 HWY 27",
"city": "HAINES CITY",
"state": "FL",
"postal_code": "338443740",
"telephone_number": "863-421-0639",
"fax_number": "863-421-0578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "LINDA",
"middle_name": "C",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-21",
"last_updated": "2010-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS23051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Haines City, FL
- Children Achieving Milestones Therapy Services Inc (Children Achieving MIlestones Therpay Services)
- Phomello P Chinheya, APRN
- Chirag Bakulesh Patel MD PA
- Chosen ABA LLC
- Steven J Ciaravino, DDS
- Cloud Chiropractic of Haines City
- Victor Hugo Columbie Arbona, ARNP
- Community Care Resources Inc (Community Care Resources Pharmacy)
- Sharon Kay Conlon
- Barry Connor, ARNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.