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DR. KELLY RAE CLARK PHARM.D. NPI 1003071150


NPI Information

NPI: 1003071150
Provider Name: DR. KELLY RAE CLARK, PHARM.D.
Classification: Pharmacist - 1835P1300X
Entity Type: Individual

Specialization: Psychiatric

Address:
130 W KINGSBRIDGE RD
BRONX, NY
ZIP 10468
Phone: (718) 584-9000
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DR. Kelly Rae Clark, PHARM.D. is a psychiatric pharmacist in Bronx, NY. The provider is a licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and monitoring patients, recognizing drug-induced problems, and recommending appropriate treatment plans. DR. Kelly Rae Clark, PHARM.D. NPI is 1003071150. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

130 W KINGSBRIDGE RD
BRONX, NY
ZIP 10468-904
Phone: (718) 584-9000

The enumeration date for this NPI number is 7/28/2008 and was last updated on 7/28/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11835P1300XPharmacistPsychiatric41224TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.