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JACEE CLARK PHARMD
NPI 1043937741
Pharmacist in Ammon, ID

Active since October 24, 2022
3160 E 17TH ST STE 164, AMMON, ID 83406(208) 529-1795 Get Directions Write a Review

NPPES record last updated: October 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacee Clark Pharmd NPPES

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

JACEE CLARK PHARMD (NPI 1043937741) is an individual pharmacist in Ammon, Idaho, licensed in Idaho (P10067) and active in the NPI registry since October 2022. She maintains a secondary practice location in Rexburg.

NPPES Registry Identity

NPI1043937741
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameJACEE CLARKCredential: PHARMD
Location Address3160 E 17TH ST STE 164Ammon, ID 83406-6784
Mailing Address10668 N 36th EIdaho Falls, ID 83401-6575
Phone(208) 529-1795
Sole ProprietorNo
Enumeration DateOctober 24, 2022
NPPES CertifiedOctober 21, 2022
✔ NPI 1043937741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in ID · P10067
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
3160 E 17TH ST STE 164, Ammon, ID 83406
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Secondary Practice Location 1

Location 1124 W Main StRexburg, ID 83440-1827 · Phone (208) 356-5416

Other Providers at the Same Location NPPES 5

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

DR. JOSEPH MICHAEL BROWN PHARMD
Pharmacist
3160 E 17TH ST STE 164
AMMON, ID 83406
Bonneville County (208) 529-1795
KYREN TWEEDIE
Student in an Organized Health Care Education/Training Program
3160 E 17TH ST STE 164
AMMON, ID 83406
Bonneville County (208) 529-1795
TETON PHARMACY IN AMMON
Pharmacy (Community/Retail Pharmacy)
3160 E 17TH ST STE 164
AMMON, ID 83406
Bonneville County (208) 529-1795
BROULIM SUPERMARKETS, LLC
Pharmacy (Community/Retail Pharmacy)
3160 E 17TH ST STE 164
AMMON, ID 83406
Bonneville County (208) 529-1795
JARED K LYON PHARMD., RPH
Pharmacist
3160 E 17TH ST STE 164
AMMON, ID 83406
Bonneville County (208) 529-1795

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 Jacee Clark's NPI number?

The NPI number for Jacee Clark is 1043937741. It was assigned to this individual provider in the NPPES registry on October 24, 2022.

Where is Jacee Clark located?

Jacee Clark practices at 3160 E 17th St Ste 164, Ammon, ID 83406. The listed phone number is (208) 529-1795.

What is Jacee Clark's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Jacee Clark was last updated on October 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.