Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kristie Dawn Clark, PHARMD, CDE

Individual provider Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · NPI 1619222932

Kristie Dawn Clark, PHARMD, CDE is a Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Charlotte, North Carolina. Practices as a sole proprietor and works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2012
Specialties on file
2
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.
CDE — Certified Diabetes Educator
Teaches people to manage diabetes day to day.

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Practice location Address checks out

10816 Black Dog Ln Ste 160
Charlotte, NC 28214-1479
Phone: (704) 316-3970
Fax: (704) 316-3971
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 Medical Park Dr, Concord, NC 28025-2982 — (704) 403-1307

Specialties & licences

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (primary) Taxonomy 1835P0018X · Licence 0070-00413 (NC)
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Taxonomy 1835P0018X · Licence 17299 (NC)

Record details

NPI number1619222932
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMD , CDE
Sole proprietorYes
NPI enumeratedJuly 24, 2012
Last updated in NPPESJanuary 16, 2025
Certification dateJanuary 16, 2025

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