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DR. CLARK KEBODEAUX PHARM.D.
NPI 1669785697
Pharmacist in Saint Louis, MO

Active since July 19, 2010
4218 LINDELL BLVD, SAINT LOUIS, MO 63108(314) 534-3829 Get Directions Write a Review

NPPES record last updated: August 10, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Clark Kebodeaux Pharm.d. NPPES

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

DR. CLARK KEBODEAUX PHARM.D. (NPI 1669785697) is an individual pharmacist in Saint Louis, Missouri, licensed in Missouri (2011021859) and active in the NPI registry since July 2010.

NPPES Registry Identity

NPI1669785697
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. CLARK KEBODEAUXCredential: PHARM.D.
Location Address4218 LINDELL BLVDSaint Louis, MO 63108-2916
Mailing Address4588 Parkview PlSaint Louis, MO 63110-1029 · (314) 446-8508
Phone(314) 534-3829
Sole ProprietorNo
Enumeration DateJuly 19, 2010
Last NPPES UpdateAugust 10, 2011
✔ NPI 1669785697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses✔ Licensed in MO · 2011021859✔ Licensed in KY · 015036
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.
4218 LINDELL BLVD, Saint Louis, MO 63108
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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.

KARA GREEN
Pharmacist
4218 LINDELL BLVD
SAINT LOUIS, MO 63108
St. Louis City (314) 371-4286
SHEKHAR SINHA PHARMD
Pharmacist
4218 LINDELL BLVD
SAINT LOUIS, MO 63108
St. Louis City (314) 371-4286
THERESA DETERDING
Pharmacist
4218 LINDELL BLVD
SAINT LOUIS, MO 63108
St. Louis City (314) 371-4286
JEFFREY KURUVILLA PHARM.D.
Pharmacist
4218 LINDELL BLVD
SAINT LOUIS, MO 63108
St. Louis City (314) 371-4286
SAMER FARES ISSA PHARMD
Pharmacist
4218 LINDELL BLVD
SAINT LOUIS, MO 63108
St. Louis City (314) 371-4286
KEVIN J BREEZE RPH
Pharmacist
4218 LINDELL BLVD
SAINT LOUIS, MO 63108
St. Louis City (314) 371-4286
JOHNATHAN DOTY
Pharmacist
4218 LINDELL BLVD
SAINT LOUIS, MO 63108
St. Louis City (314) 371-4286
DR. TRE'VON ORLANDO ELAM PHARM. D.
Pharmacist
4218 LINDELL BLVD
SAINT LOUIS, MO 63108
St. Louis City (314) 371-4286

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 Clark Kebodeaux's NPI number?

The NPI number for Clark Kebodeaux is 1669785697. It was assigned to this individual provider in the NPPES registry on July 19, 2010.

Where is Clark Kebodeaux located?

Clark Kebodeaux practices at 4218 Lindell Blvd, Saint Louis, MO 63108. The listed phone number is (314) 534-3829.

What is Clark Kebodeaux'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 Clark Kebodeaux was last updated on August 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.