Patrick Clark

Primary specialty

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

License

PH25373 Issued in MA

Practice address

5 Pierce St
Greenfield, MA 01301-1928

Phone

(413) 773-3801

NPI assigned

Feb 1, 2022

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

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.

• Walgreen Co

  • Pharmacy
  • Greenfield, MA
  • NPI 1811902927
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1992458673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 GREYSTONE AVE",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010891909",
            "telephone_number": "617-216-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PIERCE ST",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013011928",
            "telephone_number": "413-773-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "PATRICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-01",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MA",
            "license": "PH25373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Grantland Christian III, MD
• Laura Rose Christian, RN
• Lindsay Morin Ciepiela, MSW
• Marcelline Alane Ciuffreda, O.D.
• Angela Clark
• Kristal Jean Cleaver, LICSW
• Carisa Elena Clifford, RN
• Clinical & Support Oprtions
• Clinical & Support Options, Inc
• Clinical & Support Options, Inc

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Greenfield, MA
• Providers in Greenfield, MA by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.