Sandra Phillippi Clarke, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202206588 Issued in VA

Practice address

450 W Monroe St
Wytheville, VA 24382-2236

Phone

(276) 223-0558

NPI assigned

May 20, 2006

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

Locations

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.

• True Blue Pharmacy Inc

  • Community/Retail Pharmacy
  • Bastian, VA
  • NPI 1144804535
  NPD Authorized official
• Brock Hughes Free Clinic, Inc.

  dba Brock Hughes Medical Center

  • Primary Care Clinic/Center
  • Wytheville, VA
  • NPI 1558522938
  NPD

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1982658209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 STAFFORD UMBERGER RD",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243824439",
            "telephone_number": "276-228-5940",
            "fax_number": "276-228-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 W MONROE ST",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243822236",
            "telephone_number": "276-223-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "SANDRA",
        "middle_name": "PHILLIPPI",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202206588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeannie Lynn Childress, FNP-C
• Kyoung S Cho, M.D.
• Debbie D Clark, PHYSICAL THERAPIST
• Patricia Paulette Clark, OCCUPATIONAL THERAPI
• Samantha Jo Clark, BA, RBT
• Denise E Clay, M.D.
• Helen Renee Coceano, MD
• Misty Joy Colley, FNP-BC
• Amy M Collins, LICENSED PHYSICAL TH
• Rebecca Dara Collins

• Pharmacist in Wytheville, VA
• Providers in Wytheville, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.