Tracy M Clark, CPHT

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

119588 Issued in TX

Practice address

3409 Worth St
725
Dallas, TX 75246-2029

Phone

(214) 276-5616

NPI assigned

Apr 10, 2007

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454889600000",
    "number": "1992928097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 E OATES RD APT 101",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750433454",
            "telephone_number": "469-648-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 WORTH ST",
            "address_2": "725",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462029",
            "telephone_number": "214-276-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "TRACY",
        "middle_name": "M",
        "credential": "CPHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2016-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "TX",
            "license": "119588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF PHARMACY",
            "identifier": "119588",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY TECHNICIAN CERTIFICATION BOARD",
            "identifier": "170109717629639",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sue Clark, LPC
• Tampa Catherine Clark, DNP, APRN, CNS
• Tejauna Clark, OT
• Thomas Christopher Clark
• Tracey Clark
• Veurmer Clark, O.D.
• William Randolph Clark, LPC
• Clarke D. Newman, OD, PC
• Christopher A Clarke, MD
• Erin Elizabeth Clarke, MD

• Pharmacy Technician in Dallas, TX
• Providers in Dallas, TX by specialty
• Pharmacy Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; 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.