CLARK RX LLC (NPI# 1699047423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699047423 |
| Entity Type | Organization |
| Organization Name | CLARK RX LLC |
| Other Organization Name | CLARK'S RX PHARMACY |
| Practice Address |
710 S Breiel Blvd Ste B Middletown OH 45044-6202 |
| Mailing Address |
7333 Paragon Rd Suite 160 Centerville OH 45459-4155 |
| Practice Telephone | 5132616053 |
| Practice Fax Number | 5132616054 |
| Mailing Telephone | 9374287970 |
| Mailing Fax Number | 9374287978 |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2016-04-25 |
| Authorized Official Name | TIMOTHY CLARK (PRESIDENT) |
| Authorized Official Telephone | 9374287970 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
022201700 | OH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2133770 | 01 |
| Other Name | Type Code |
|---|---|
| CLARK'S RX PHARMACY | Doing Business As Name - Organization |
| Street Address |
710 S BREIEL BLVD STE B |
| City | MIDDLETOWN |
| State | OH |
| Zip Code | 45044-6202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174091250 | Pamela Little Little-hayes | Occupational Therapist | 1516 First Ave, Middletown, OH 45044 | 2018-11-07 |
| 1568955136 | King's Pharmacy | Pharmacy | 7043 Yankee Rd, Liberty Township, OH 45044 | 2018-06-08 |
| 1669964227 | Ashley Loren Witt | Counselor | 2005 Central Avenue, Middletown, OH 45044 | 2018-05-30 |
| 1598275703 | Liberty Endoscopy Center | Clinic/Center | 7360 Liberty One Dr, Liberty Township, OH 45044 | 2017-10-03 |
| 1295250330 | Inocencia Catral Ayson-schmidt | Registered Nurse | 2021 Monarch Drive, Middletown, OH 45044 | 2017-08-10 |
| 1356862973 | Selena E Mack | Home Health Aide | 1407 East St, Middletown, OH 45044 | 2017-07-05 |
| 1083135792 | Caroline Marie Goff | Social Worker | 321 Curtis Street, Middletown, OH 45044 | 2017-07-03 |
| 1013445659 | Erinn Michelle Torbeck | Dentist | 6862 Liberty Plaza Dr Ste 500, Liberty Township, OH 45044 | 2017-05-26 |
| 1194263160 | Pamela Gill | Private Vehicle | 1705 Sheridan Ave, Middletown, OH 45044 | 2017-02-09 |
| 1093265217 | Shirletta Hilton | Registered Nurse | 6143 Dawson Dr, Middletown, OH 45044 | 2016-10-12 |
| Find all providers in zip 45044 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700434214 | Kratzer Pharmacy Inc. | Pharmacy | 711 S Breiel Blvd, Middletown, OH 45044-6201 | 2019-08-28 |
| 1962928473 | Walgreen Co | Pharmacy | 1447 State Route 35, Middletown, NJ 07748-2030 | 2017-08-16 |
| 1407179476 | Beena 3 Inc | Pharmacy | 167-171 Dolson Ave, Middletown, NY 10940 | 2010-03-05 |
| 1639404775 | Med One Pharmacy Inc | Pharmacy | 4317 Old National Pike, Middletown, MD 21769-7700 | 2009-10-07 |
| 1629268875 | Shoprite Supermarkets Inc. | Pharmacy | 20 Lloyds Lane, Middletown, NY 10940 | 2007-07-25 |
| 1962506766 | Rhode Island Cvs Pharmacy, L.L.C. | Pharmacy | 99 E Main Rd, Middletown, RI 02842-4953 | 2006-09-12 |
| 1396848016 | Hook Superx LLC | Pharmacy | 1006 W Mill St, Middletown, IN 47356-9353 | 2006-09-07 |
| 1285737007 | Ohio Cvs Stores LLC | Pharmacy | 820 S Breiel Blvd, Middletown, OH 45044-6204 | 2006-09-07 |
| 1477656296 | Ohio Cvs Stores LLC | Pharmacy | 2424 N Verity Pkwy, Middletown, OH 45042-2466 | 2006-09-07 |
| 1669575171 | Ohio Cvs Stores LLC | Pharmacy | 440 Oxford State Rd, Middletown, OH 45044-7434 | 2006-09-07 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 45044 |
Please comment or provide details below to improve the information on CLARK RX LLC.
| 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.