1. Home
  2. Directory
  3. North Carolina
  4. Charlotte
  5. Pharmacist
  6. NPI Profile

KRISTIE DAWN CLARK PHARMD, CDE
NPI 1619222932
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Charlotte, NC

Active since July 24, 2012
10816 BLACK DOG LN STE 160, CHARLOTTE, NC 28214(704) 316-3970(704) 316-3971 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kristie Dawn Clark Pharmd, Cde NPPES

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

KRISTIE DAWN CLARK PHARMD, CDE (NPI 1619222932) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Charlotte, North Carolina, licensed in North Carolina (0070-00413) and active in the NPI registry since July 2012. She maintains a secondary practice location in Concord.

NPPES Registry Identity

NPI1619222932
Entity TypeIndividualFemale
Primary Taxonomy1835P0018X
Provider Legal NameKRISTIE DAWN CLARKCredential: PHARMD, CDE
Location Address10816 BLACK DOG LN STE 160Charlotte, NC 28214-1479
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Phone(704) 316-3970
Fax(704) 316-3971
Sole ProprietorYes
Enumeration DateJuly 24, 2012
Last NPPES UpdateJanuary 16, 2025
NPPES CertifiedJanuary 16, 2025
✔ NPI 1619222932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
Licenses✔ Licensed in NC · 0070-00413✔ Licensed in NC · 17299
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
10816 BLACK DOG LN STE 160, Charlotte, NC 28214
Open in Google Maps ↗

Secondary Practice Location 1

Location 1200 Medical Park Dr, Ste 550Concord, NC 28025-2982 · Phone (704) 403-1307 · Fax (704) 403-3655

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.

MORGAN ELIZABETH MARIE FERRUZZI MD
Family Medicine
10816 BLACK DOG LN STE 160
CHARLOTTE, NC 28214
Mecklenburg County (704) 316-3970
JASON LEE SEITCHIK MD
Family Medicine
10816 BLACK DOG LN STE 160
CHARLOTTE, NC 28214
Mecklenburg County (704) 316-3970

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 Kristie Clark's NPI number?

The NPI number for Kristie Clark is 1619222932. It was assigned to this individual provider in the NPPES registry on July 24, 2012.

Where is Kristie Clark located?

Kristie Clark practices at 10816 Black Dog Ln Ste 160, Charlotte, NC 28214. The listed phone number is (704) 316-3970.

What is Kristie Clark's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Kristie Clark was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.