SAMANTHA JANE CLARK PHARM.D.
NPI 1144869900
Pharmacist in Dryden, NY

Active since December 26, 2019

NPPES record last updated: November 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 12, 2021, Dec 26, 2019 (2 updates tracked since 2019).

About Samantha Jane Clark Pharm.d. NPPES

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

SAMANTHA JANE CLARK PHARM.D. (NPI 1144869900) is an individual pharmacist in Dryden, New York, licensed in New York (066348) and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1144869900
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameSAMANTHA JANE CLARKCredential: PHARM.D.
Location Address79 NORTH STDryden, NY 13053-8510
Mailing Address2174 S Cortland Virgil RdCortland, NY 13045-8984 · (607) 745-1877
Sole ProprietorNo
Enumeration DateDecember 26, 2019
Last NPPES UpdateNovember 12, 20212 updates tracked since enumeration
NPPES CertifiedNovember 12, 2021
NPI 1144869900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in NY · 066348
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.
79 NORTH ST, Dryden, NY 13053

Other Providers at the Same Location NPPES 2

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

Pharmacist
79 NORTH ST
DRYDEN, NY 13053
Pharmacy
79 NORTH ST
DRYDEN, NY 13053

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 Samantha Clark's NPI number?

The NPI number for Samantha Clark is 1144869900. It was assigned to this individual provider in the NPPES registry on December 26, 2019.

Where is Samantha Clark located?

Samantha Clark practices at 79 North St, Dryden, NY 13053. The listed phone number is (607) 844-3404.

What is Samantha 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 Samantha Clark was last updated on November 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.