CAROL CLARK (NPI# 1497210355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497210355 |
| Entity Type | Organization |
| Organization Name | CAROL CLARK |
| Practice Address |
134 Block St Marion AR 72364-1956 |
| Practice Telephone | 8707391111 |
| Practice Fax Number | 8707391116 |
| Mailing Telephone | 8707391111 |
| Mailing Fax Number | 8707391116 |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2019-02-05 |
| Authorized Official Name | CAROL RILEY CLARK (OWNER) |
| Authorized Official Telephone | 8707927177 |
| Is Organization Subpart | Y |
| Parent Organization Name | CAROL CLARK |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | Suppliers |
| Other Name | Type Code |
|---|---|
| Marion Family Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841321940 | Carol Clark | Pharmacy | 621 Commerce St, Earle, AR 72331-1616 | 2007-03-08 |
| Street Address |
134 BLOCK ST |
| City | MARION |
| State | AR |
| Zip Code | 72364-1956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992849764 | Johnny H Burns, T/a Marion Discont Pharmacy | Pharmacy | 134 Block St, Marion, AR 72364-1956 | 2007-02-16 |
| 1659856185 | Mark Wayne Clark | Pharmacy | 134 Block St, Marion, AR 72364-1956 | 2018-10-01 |
| 1104957018 | Johnny Hilton Burns Sr. | Pharmacist | 134 Block St, Marion, AR 72364-1956 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942320 | Freda Cunningham | Pharmacy | 2100 Hwy 77, Marion, AR 72364 | 2020-11-05 |
| 1083235998 | Lorenzo Soto | Specialist/Technologist | 444 Dogwood Cove, Marion, AR 72364 | 2020-05-01 |
| 1225663073 | Martha Hall | Technician | 144 Morningside Drive, Marion, AR 72364 | 2020-03-11 |
| 1073159984 | Angela Hamill | Nurse Practitioner | 924 Ar 77, Marion, AR 72364 | 2019-11-26 |
| 1346761251 | Ashlyn Brook Williams | Nurse Practitioner | 136 Block Street, Marion, AR 72364 | 2017-06-30 |
| 1447622873 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2100 Highway 77, Marion, AR 72364 | 2015-10-26 |
| 1366828378 | Hilary Hartwig | Nurse Practitioner | 1139 Hwy 77, Marion, AR 72364 | 2015-08-03 |
| 1730575077 | Roadmaps To Recovery Counseling Services of Midsouth | Community/Behavioral Health | 162 W Military Road, Marion, AR 72364 | 2015-04-14 |
| 1144661141 | Heather Chapman | Physical Therapy Assistant | 2860 I 55 Service Rd Ste C, Marion, AR 72364 | 2013-07-08 |
| 1679919351 | Gladys Hampton | Counselor | 1227 Highway 77, Suite 2, Marion, AR 72364 | 2013-05-21 |
| Find all providers in zip 72364 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487719803 | Marion Prescription Inc | Pharmacy | 544 E Center St, Marion, OH 43302-4234 | 2006-12-26 |
| 1265539100 | Mountainmed LLC | Pharmacy | 74 N Garden St, Marion, NC 28752-4037 | 2006-09-20 |
| 1639196132 | Walmart Inc. | Pharmacy | 5491 Highway 151, Marion, IA 52302-3892 | 2006-07-17 |
| 1639196991 | Walmart Inc. | Pharmacy | 2802 Outer Dr, Marion, IL 62959-5207 | 2006-07-16 |
| 1063439248 | Wal-mart Stores East Lp | Pharmacy | 1546 Marion Mount Gilead Rd, Marion, OH 43302-5820 | 2006-07-16 |
| 1558395251 | The Kroger Co | Pharmacy | 1428 Marion Waldo Rd, Marion, OH 43302-7422 | 2006-07-10 |
| 1003848045 | Freds Stores of Tennessee Inc | Pharmacy | 905 West Main Street, Marion, IL 62959-1998 | 2006-07-07 |
| 1124050158 | Freds Stores of Tennessee Inc | Pharmacy | 2695 State Highway 77 S, Marion, AR 72364-2369 | 2006-07-07 |
| 1437147717 | Marion Pharmacy, Inc. | Pharmacy | 3803 South Main St., Marion, NY 14505 | 2005-10-11 |
| 1023012044 | Uch Pharmaceutical Services Inc | Pharmacy | 715 S Baldwin Ave, Marion, IN 46953-1375 | 2005-06-08 |
| Find all providers in MARION | ||||
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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.