CLARK'S PHARMACY INC (NPI# 1508907130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508907130 |
| Entity Type | Organization |
| Organization Name | CLARK'S PHARMACY INC |
| Practice Address |
15615 Bel Red Rd Bellevue WA 98008-2300 |
| Practice Telephone | 4258810222 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARK CLARK (OWNER) |
| Authorized Official Telephone | 4258810222 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
CF00002400 | WA | Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | CLARK'S PHARMACY INC. | 119-a N Main St, Farmville, Virginia 23901 |
| Street Address |
15615 BEL RED RD |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98008-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689724072 | Michael Von Baker | Naturopath | 15615 Bel Red Rd, Suite C, Bellevue, WA 98008-2300 | 2007-01-10 |
| 1326598640 | Ipsen Pharmacy Services LLC | Pharmacy | 15615 Bel Red Rd, Bellevue, WA 98008-2300 | 2016-10-11 |
| 1134530439 | Barbara Ingmire | Massage Therapist | 15615 Bel Red Rd, Bellevue, WA 98008-2300 | 2014-05-08 |
| 1598019606 | Erin Michelle Raven | Massage Therapist | 15615 Bel Red Rd, Bellevue, WA 98008-2300 | 2012-10-29 |
| 1184928681 | Elizabeth Louise Morgan | Massage Therapist | 15615 Bel Red Rd, Suite A, Bellevue, WA 98008-2300 | 2010-12-27 |
| 1710178512 | Sarah Maureen Sabo | Chiropractor | 15615 Bel Red Rd, Suite A, Bellevue, WA 98008-2300 | 2007-08-06 |
| 1255472874 | Mark Eldon Clark | Pharmacist | 15615 Bel Red Rd, Suite B, Bellevue, WA 98008-2300 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528540416 | Rodica Belindean | Nurse's Aide | 3022 167th Ave Ne, Bellevue, WA 98008 | 2018-09-06 |
| 1831600030 | Daily Nutrition for Life LLC | Nutritionist | 15600 Ne 8th St Ste B1-707, Bellevue, WA 98008 | 2017-10-16 |
| 1871003913 | Sara Ann Glatz | Massage Therapist | 51 157th Ave Se, Bellevue, WA 98008 | 2017-10-03 |
| 1336555630 | Elizabeth Cheri Anne Smith | Dentist | 1223 158th Ave Se, Bellevue, WA 98008 | 2014-07-08 |
| 1407269731 | Akiko Kinney | Counselor | 16301 Ne 8th St., Bellevue, WA 98008 | 2014-06-04 |
| 1184042996 | Sara Francine York | Counselor | 16301 Ne 8th St. Ste 150, Puget Sound Child and Family Therapy, Bellevue, WA 98008 | 2014-03-31 |
| 1861819906 | Kimberly Song Truong | Acupuncturist | 15650 Ne 24th Street, Suite C1, Bellevue, WA 98008 | 2014-03-26 |
| 1336414614 | Alison Butler | Massage Therapist | 50 157th Ave Se, Bellevue, WA 98008 | 2012-03-20 |
| 1184998593 | Zynergy Chiropractic | Chiropractor | 15616 Bel-red Rd, Bellevue, WA 98008 | 2012-03-02 |
| 1043516149 | Ricardo Fernandez | Massage Therapist | 16301 Ne8th St Suite280, Bellevue, WA 98008 | 2011-02-07 |
| Find all providers in zip 98008 | ||||
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497388649 | Group Dpc, LLC | Pharmacy | 2206 Longo Dr Ste 209, Bellevue, NE 68005-2977 | 2020-02-17 |
| 1174699284 | Tlc Integrative Pharmacy Inc | Pharmacy | 15600 Ne 8th St, Ste K8, Bellevue, WA 98008-3927 | 2006-11-28 |
| 1497897334 | Paul J Ruwe Inc | Pharmacy | 103 Landmark Dr, Suite 140, Bellevue, KY 41073-1393 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417581943 | Jike LLC | Pharmacy | 8614 E Mill Plain Blvd Ste 110, Vancouver, WA 98664-2058 | 2020-02-24 |
| 1518444025 | Columbia Pharmacy | Pharmacy | 2700 Ne Andresen Rd Ste E3, Vancouver, WA 98661 | 2018-07-26 |
| 1730500067 | Kelley-ross and Assoc, Inc. | Pharmacy | 805 Madison St # 702, Seattle, WA 98104-1172 | 2014-01-06 |
| 1962779348 | Poulsbo Compounding Pharmacy LLC | Pharmacy | 325 Ne Hostmark Street, Poulsbo, WA 98370 | 2011-11-29 |
| 1114237633 | Poulsbo Compounding Pharmacy LLC | Pharmacy | 325 Ne Hostmark St, Poulsbo, WA 98370-6668 | 2010-10-18 |
| 1750601472 | Sound Apothecaries | Pharmacy | 1851 State Ave Ne Ste 105, Olympia, WA 98506-4601 | 2010-06-03 |
| 1699094417 | Darvic Assoc. Inc. | Pharmacy | 1907 Harrison Ave Nw, Olympia, WA 98502-5118 | 2010-05-18 |
| 1093961146 | Mipa Corp | Pharmacy | 4629 168th St Sw Ste A, Lynnwood, WA 98037-8640 | 2008-08-08 |
| 1578760260 | Pharmaca Integrative Pharmacy, Inc. | Pharmacy | 1815 N. 45th Street, Suite 110, Seattle, WA 98103 | 2007-06-27 |
| 1528199619 | Don's Pharmacy Inc. | Pharmacy | 1151 Water St, Port Townsend, WA 98368-6707 | 2007-03-08 |
| 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.