KELSEY CLARK
NPI 1972102465
Pharmacist in Whitewater, WI

Active since October 26, 2020
1362 W MAIN ST, WHITEWATER, WI 53190(262) 473-7740 Get Directions Write a Review

NPPES record last updated: October 26, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelsey Clark NPPES

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

KELSEY CLARK (NPI 1972102465) is an individual pharmacist in Whitewater, Wisconsin, licensed in Wisconsin (17484) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1972102465
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameKELSEY CLARK
Location Address1362 W MAIN STWhitewater, WI 53190-1504
Mailing Address1362 W Main StWhitewater, WI 53190-1504 · (262) 473-7740
Sole ProprietorYes
Enumeration DateOctober 26, 2020
NPPES CertifiedOctober 26, 2020
NPI 1972102465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in WI · 17484
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.
1362 W MAIN ST, Whitewater, WI 53190

Other Providers at the Same Location NPPES 3

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

Pharmacy (Community/Retail Pharmacy)
1362 W MAIN ST
WHITEWATER, WI 53190
Pharmacist
1362 W MAIN ST
WHITEWATER, WI 53190
Eyewear Supplier
1362 W MAIN ST
WHITEWATER, WI 53190

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 Kelsey Clark's NPI number?

The NPI number for Kelsey Clark is 1972102465. It was assigned to this individual provider in the NPPES registry on October 26, 2020.

Where is Kelsey Clark located?

Kelsey Clark practices at 1362 W Main St, Whitewater, WI 53190. The listed phone number is (262) 473-7740.

What is Kelsey 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 Kelsey Clark was last updated on October 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.