Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043937741 Individual Practitioner Female Practitioner

Dr. Jacee Clark , PharmD

Pharmacist • Ammon, ID

Professional Overview & Biography Verified Profile Summary

Dr. Jacee Clark, PharmD is a registered healthcare professional specializing in Pharmacist in Ammon, ID. Practice services are available at 3160 E 17TH ST STE 164 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3160 E 17th St Ste 164

Ammon, ID 834066784

Telephone 2085291795
Associated Practice Facility / Clinic
🏢 Teton Pharmacy In Ammon Facility NPI 1831561034

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Ammon, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
35 Specialists

Practicing in Ammon, ID (1793 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-10-21
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License ID P10067

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.

Secondary Practice Locations

124 W Main St

Rexburg, ID 834401827

Phone: 2083565416

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1346417003

Doctor of Pharmacy (Pharm.D.)

Kyren Tweedie

Student in an Organized Health Care Education/Training Program

NPI 1609748854
NPI 1912304049

Doctor of Pharmacy (Pharm.D.), Registered Pharmacist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 24, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location October 24, 2022

Registered at 3160 E 17TH ST STE 164, AMMON, ID 834066784 (Tel: 2085291795)

📍
Updated Business Mailing Address October 24, 2022

Registered at 10668 N 36TH E, IDAHO FALLS, ID 834016575

👤
Provider Name / Credentials Updated October 24, 2022

Recorded as JACEE CLARK, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2022

Pharmacist (License #P10067 in ID)

🟢
Initial NPI Registration & Enumeration October 24, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043937741
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 24, 2022
Last Update: October 24, 2022
Sole Proprietor: No

Mailing Address

10668 N 36th E

Idaho Falls, ID 834016575

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.