Jennifer L. Clark, PHARMD, BCCCP
NPI 1538021399ActiveIndividual· Pharmacist, Critical Care· Saint Cloud, MN
Pharmacist, Critical Care (PHARMD, BCCCP) in Saint Cloud, Minnesota, licensed in MN, with an NPI issued in December 2025.
Overview
| NPI | 1538021399 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHARMD, BCCCP |
| Sole proprietor | No |
| NPI issued | Dec 1, 2025 |
| Last updated in NPPES | Dec 1, 2025 |
| Certified by provider | Dec 1, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist, Critical Care Primary | 1835C0205X | 116145 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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