Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1689908246 Individual Practitioner Male Practitioner

Dr. William Ray Clark , PharmD

Pharmacist • Ithaca, NY

Professional Overview & Biography Verified Profile Summary

Dr. William Clark, PharmD is a registered healthcare professional specializing in Pharmacist in Ithaca, NY. Practice services are available at 513 N CAYUGA ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

513 N Cayuga St

Ithaca, NY 148503663

Telephone 6072728333
Fax 6072728366

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Ithaca, NY

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

Practicing in Ithaca, NY (23779 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: 2025-01-21
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License NY 058841

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.

Pharmacist

NUCC Taxonomy Code: 183500000X

State License ME PR5745

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

130 Main St

Moravia, NY 131183689

Phone: 3154979600

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1447626866

Doctor of Pharmacy (Pharm.D.)

NPI 1912229618

Registered Pharmacist

Career & Practice History Timeline

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

15 Historical Events
📍
Updated Practice Location January 22, 2025

Registered at 513 N CAYUGA ST, ITHACA, NY 148503663 (Tel: 6072728333)

📍
Updated Business Mailing Address January 22, 2025

Registered at 513 N CAYUGA ST, ITHACA, NY 148503663 (Tel: 6072728333)

📍
Updated Practice Location March 29, 2023

Registered at 130 MAIN ST, MORAVIA, NY 131183689 (Tel: 3154979600)

📍
Updated Business Mailing Address March 29, 2023

Registered at 130 MAIN ST, MORAVIA, NY 131183689 (Tel: 3154979600)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2023

Pharmacist (License #PR5745 in ME)

📍
Updated Practice Location April 08, 2021

Registered at 14 CLINTON AVE, CORTLAND, NY 130452102 (Tel: 6077531591)

📍
Updated Business Mailing Address April 08, 2021

Registered at 14 CLINTON AVE, CORTLAND, NY 130452197 (Tel: 6077531591)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2021

Pharmacist (License #058841 in NY)

📍
Updated Practice Location July 08, 2020

Registered at 173 CHURCH ST, SARANAC LAKE, NY 129831843 (Tel: 5188916033)

NPI Profile Active September 29, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location September 29, 2009

Registered at 4 JAMESON STREET #4, OLD TOWN, ME 04468 (Tel: 5859446438)

📍
Updated Business Mailing Address September 29, 2009

Registered at 1 WEST BROADWAY, LINCOLN, ME 04457 (Tel: 5859446438)

👤
Provider Name / Credentials Updated September 29, 2009

Recorded as WILLIAM CLARK, PHARM D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 29, 2009

Pharmacist (License #PR5745 in ME)

🟢
Initial NPI Registration & Enumeration September 29, 2009

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: 1689908246
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 29, 2009
Last Update: January 22, 2025
Sole Proprietor: Yes

Mailing Address

513 N Cayuga St

Ithaca, NY 148503663

Phone: 6072728333

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.