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DR. KENYATTA CLEARK RPH, PHARMD
NPI 1477172906
Pharmacist in Brentwood, TN

Active since April 14, 2020
1522 MOORES CT, BRENTWOOD, TN 37027(769) 251-3601 Get Directions Write a Review

NPPES record last updated: September 30, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 30, 2022, May 11, 2022, Apr 14, 2020 (3 updates tracked since 2020).

About Dr. Kenyatta Cleark Rph, Pharmd NPPES

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

DR. KENYATTA CLEARK RPH, PHARMD (NPI 1477172906) is an individual pharmacist in Brentwood, Tennessee, licensed in Louisiana (PST.024198) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1477172906
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameDR. KENYATTA CLEARKCredential: RPH, PHARMD
Location Address1522 MOORES CTBrentwood, TN 37027-2923
Mailing Address1522 Moores CtBrentwood, TN 37027-2923 · (769) 251-3601
Phone(769) 251-3601
Sole ProprietorYes
Enumeration DateApril 14, 2020
Last NPPES UpdateSeptember 30, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2022
✔ NPI 1477172906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in LA · PST.024198
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.
1522 MOORES CT, Brentwood, TN 37027
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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 Kenyatta Cleark's NPI number?

The NPI number for Kenyatta Cleark is 1477172906. It was assigned to this individual provider in the NPPES registry on April 14, 2020.

Where is Kenyatta Cleark located?

Kenyatta Cleark practices at 1522 Moores Ct, Brentwood, TN 37027. The listed phone number is (769) 251-3601.

What is Kenyatta Cleark'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 Kenyatta Cleark was last updated on September 30, 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.