DR. KELLY RAE CLARK PHARM.D.
NPI 1003071150
Pharmacist - Psychiatric in Bronx, NY

Active since July 28, 2008
130 W KINGSBRIDGE RD, BRONX, NY 10468(718) 584-9000 Get Directions Write a Review

NPPES record last updated: July 28, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kelly Rae Clark Pharm.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KELLY RAE CLARK PHARM.D. (NPI 1003071150) is an individual psychiatric provider in Bronx, New York, licensed in Texas (41224) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1003071150
Entity TypeIndividualFemale
Primary Taxonomy1835P1300X
Provider Legal NameDR. KELLY RAE CLARKCredential: PHARM.D.
Location Address130 W KINGSBRIDGE RDBronx, NY 10468-3904
Mailing Address130 W Kingsbridge RdBronx, NY 10468-3904
Sole ProprietorNo
Enumeration DateJuly 28, 2008
NPI 1003071150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacist · PsychiatricPharmacy Service Providers
Taxonomy Code1835P1300X
License Licensed in TX · 41224
Definition
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.
130 W KINGSBRIDGE RD, Bronx, NY 10468

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
130 W KINGSBRIDGE RD
BRONX, NY 10468
Psychologist (Clinical)
130 W KINGSBRIDGE RD
BRONX, NY 10468
Hospitalist
130 W KINGSBRIDGE RD
BRONX, NY 10468
Pharmacist
130 W KINGSBRIDGE RD
BRONX, NY 10468
Social Worker (Clinical)
130 W KINGSBRIDGE RD, J. J. PETERS VA MEDICAL CENTER
BRONX, NY 10468
Psychiatry & Neurology (Neurology)
130 W KINGSBRIDGE RD, NEUROLOGY DEPT., BRONX VETERANS HOSPITAL
BRONX, NY 10468
Dietitian, Registered
130 W KINGSBRIDGE RD
BRONX, NY 10468
Social Worker (Clinical)
130 W KINGSBRIDGE RD
BRONX, NY 10468

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Clark's NPI number?

The NPI number for Kelly Clark is 1003071150. It was assigned to this individual provider in the NPPES registry on July 28, 2008.

Where is Kelly Clark located?

Kelly Clark practices at 130 W Kingsbridge Rd, Bronx, NY 10468. The listed phone number is (718) 584-9000.

What is Kelly Clark's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Psychiatric, with taxonomy code 1835P1300X.

When was this NPI record last updated?

The NPPES record for Kelly Clark was last updated on July 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.