CLARKS RX LLC


Address: 922 Senate Dr, Centerville, OH 45459-4017
Phone: 9376103051

CLARKS RX LLC (NPI# 1154574010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154574010
Entity Type Organization
Organization Name CLARKS RX LLC
Other Organization Name INDEPENDENT RX LONG TERM CARE
Practice Address 922 Senate Dr
Centerville
OH 45459-4017
Mailing Address 7060 Solution Center
Chicago
IL 60677-7000
Practice Telephone 9376103051
Practice Fax Number 9376103048
Mailing Telephone 9374287970
Mailing Fax Number 9374287978
Enumeration Date 2008-10-23
Last Update Date 2018-07-19
Authorized Official Name TIMOTHY CLARK (PRESIDENT)
Authorized Official Telephone 9374287970
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 333600000X Pharmacy Suppliers
Y 3336L0003X Pharmacy
Specialization: Long Term Care Pharmacy
021907400 OH Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2117533 01

Other Provider/Organization Names

Other Name Type Code
Independent RX Long Term Care Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1710257902 Clarks Rx LLC Pharmacy 9749 Montgomery Rd, Cincinnati, OH 45242-7207 2012-01-05
1902906001 Clarks Rx LLC Pharmacy 414 W Main St, Troy, OH 45373-3244 2006-09-25
1184723652 Clarks Rx LLC Pharmacy 7415 Old Troy Pike, Huber Heights, OH 45424-2662 2006-09-21
1487754594 Clarks Rx LLC Pharmacy 675 E 2nd St, Franklin, OH 45005-1770 2006-09-25

Office Location

Street Address 922 SENATE DR
City CENTERVILLE
State OH
Zip Code 45459-4017

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659917466 Sarai Burke Robinson Occupational Therapist 2200 Miami Valley Rd, Dayton, OH 45459 2019-11-27
1689179855 Paragon Infusion Therapy, LLC Durable Medical Equipment & Medical Supplies 1746 Thomas Paine Pkwy, Centerville, OH 45459 2018-03-28
1922555473 Hannah Gualtieri Specialist/Technologist Miami Valley Drive, Suite 320, Centerville, OH 45459 2016-09-01
1326410028 Kathleen E Dorsten Counselor 37 Irongate Park Dr, Centerville, OH 45459 2015-10-21
1184000846 Valeriya Falkenshtern Specialist/Technologist 2400 Miami Valley Drive, Newborn Hearing Screens, Dayton, OH 45459 2015-08-05
1700169331 Monica Lynn Carrico Registered Nurse 7625 Paragon Road Suite C, Dayton, OH 45459 2011-09-20
1427360080 Tonia S Campbell Physical Therapist 1235 E. Alex Bell Road, Centerville, OH 45459 2010-07-11
1265768956 Health At Home, LLC Home Health 6443 Bethany Village Drive, Dayton, OH 45459 2009-10-30
1881826337 Annetta Jean Davis Social Worker 7950 Clyo Road, Centerville, OH 45459 2009-08-18
1740459783 Ryan A Long Dentist 2591 Miamisburg-centerville Rd, Suite 200, Dayton, OH 45459 2008-02-25
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Taxonomy Information

Taxonomy Code 3336L0003X
Grouping Suppliers
Classification Pharmacy
Specialization Long Term Care Pharmacy

Taxonomy Definition

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578914040 Virtus Ohio Pharmacy, LLC Pharmacy 9352 Lebanon Pike Ste B, Centerville, OH 45458-3843 2016-06-27
1326145269 Miami Valley Medical Supplies Inc. Pharmacy 9352 Dayton Lebanon Pike Ste B, Centerville, OH 45458-3843 2006-09-20
1649491473 Hickman Community Health Services Pharmacy 135 E Swan St, Centerville, TN 37033-1417 2007-05-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1194323162 East Ohio Regional Hospital Pharmacy 90 N 4th Street, Martins Ferry, OH 43935 2020-10-13
1083228852 Harvest Grove Ltc LLC Pharmacy 10335 S Medallion Dr, Cincinnati, OH 45241-4825 2020-08-31
1801416789 Pill Box Inc Pharmacy 1400 Sr 125, Amelia, OH 45102-2650 2020-04-21
1386271591 Easterday Pharmacy LLC Pharmacy 1696 S. Arch Ave, Alliance, OH 44601 2020-03-26
1659911105 Pillbox Pharmacy, LLC Pharmacy 324 Main St Ste B, Toledo, OH 43605-2038 2020-01-13
1053967364 Ksar LLC Pharmacy 2245 W Dublin Granville Rd Ste 103, Worthington, OH 43085-3336 2019-08-13
1629639281 Hhc Enterprises Inc Pharmacy 1451 Yauger Rd Ste 1h, Mount Vernon, OH 43050-7902 2019-06-25
1639730369 Pharm Investco LLC Pharmacy 434 Alexandersville Rd, Miamisburg, OH 45342-3658 2019-06-24
1710542220 Kratzer Pharmacy Inc. Pharmacy 187 W Locust St, Wilmington, OH 45177 2019-05-09
1760963326 Fitzgerald Seaman Pharmacy Pharmacy 17860 St Rt 247, Seaman, OH 45679 2018-08-22
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Competitor

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City CENTERVILLE
Zip Code 45459

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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