CLARK PHARMACY LLC (NPI# 1427163625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427163625 |
| Entity Type | Organization |
| Organization Name | CLARK PHARMACY LLC |
| Other Organization Name | LIFECHEK DRUG #7 |
| Practice Address |
502 W Montgomery St Willis TX 77378-8827 |
| Mailing Address |
1316 7th St Rosenberg TX 77471-3531 |
| Practice Telephone | 9368564594 |
| Practice Fax Number | 9368563512 |
| Mailing Telephone | 2812323940 |
| Mailing Fax Number | 8325951203 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2011-03-30 |
| Authorized Official Name | BRUCE GINGRICH (OWNER/PRESIDENT) |
| Authorized Official Telephone | 2812323940 |
| Is Organization Subpart | Y |
| Parent Organization Name | LIFECHEK, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
24189 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 4510687 | 01 | |
| TX | 140591 | 05 |
| Other Name | Type Code |
|---|---|
| LIFECHEK DRUG #7 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851613210 | Clark Pharmacy LLC | Pharmacy | 701 N Main St, Suite A, Donna, TX 78537-2765 | 2010-02-25 |
| Street Address |
502 W MONTGOMERY ST |
| City | WILLIS |
| State | TX |
| Zip Code | 77378-8827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982981239 | Hope Orthopedic Surgical Assisting LLC | Specialist/Technologist, Other | 14600 County Line Road, Willis, TX 77378 | 2011-11-14 |
| 1679887327 | Nicholas Mtchell Franovich | Specialist | 209 East Willwood Dr, Willis, TX 77378 | 2010-08-04 |
| 1710103973 | Thomas G. Lee | Dentist | 104 West Powell Dr., Willis, TX 77378 | 2007-04-17 |
| 1649369786 | Gayle J Fletcher | Dentist | 904 W Montgomery, Suite 7, Willis, TX 77378 | 2006-10-12 |
| 1518908631 | Robert M. Sandmann | Pharmacist | 9 Double Creek Court, Willis, TX 77378 | 2006-06-09 |
| 1497838957 | Thomas G. Lee, D.d.s., Inc. | Dentist | 104 West Powell Drive, Willis, TX 77378-0188 | 2006-10-20 |
| 1942542683 | Eva J Oliphant | Counselor | 817 Mlk, Willis, TX 77378-0817 | 2013-03-20 |
| 1083907893 | Maribeth Cruz Bobadilla | Family Medicine | 201 Lincoln Rdg, Willis, TX 77378-1420 | 2011-05-26 |
| 1821472648 | Nancy Elizabeth Bogenrieder | Registered Nurse | 201 Lincoln Rdg, Willis, TX 77378-1420 | 2015-07-10 |
| 1326381997 | Wendy Marie Szymanski | Physician Assistant | 1100 Rock Creek Dr, Willis, TX 77378-2372 | 2013-04-02 |
| Find all providers in zip 77378 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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] |
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| Find all providers with the same taxonomy | ||||
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| 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.