Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1972102465 Individual Practitioner Female Practitioner

Kelsey Clark

Pharmacist • Whitewater, WI

Professional Overview & Biography Verified Profile Summary

Kelsey Clark is a registered healthcare professional specializing in Pharmacist in Whitewater, WI. Practice services are available at 1362 W MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1362 W Main St

Whitewater, WI 531901504

Telephone 2624737740
Associated Practice Facility / Clinic
🏢 Wal-Mart Stores East Lp Facility NPI 1003833153

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Whitewater, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
14 Specialists

Practicing in Whitewater, WI (5503 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: 2020-10-26
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License WI 17484

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Robert Wimmer

Pharmacist

NPI 1134727191

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 26, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location October 26, 2020

Registered at 1362 W MAIN ST, WHITEWATER, WI 531901504 (Tel: 2624737740)

📍
Updated Business Mailing Address October 26, 2020

Registered at 1362 W MAIN ST, WHITEWATER, WI 531901504 (Tel: 2624737740)

👤
Provider Name / Credentials Updated October 26, 2020

Recorded as KELSEY CLARK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2020

Pharmacist (License #17484 in WI)

🟢
Initial NPI Registration & Enumeration October 26, 2020

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: 1972102465
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 26, 2020
Last Update: October 26, 2020
Sole Proprietor: Yes

Mailing Address

1362 W Main St

Whitewater, WI 531901504

Phone: 2624737740

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.