CLARK PHARMACY INC (NPI# 1720145105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720145105 |
| Entity Type | Organization |
| Organization Name | CLARK PHARMACY INC |
| Other Organization Name | CLARK PHARMACY INC |
| Practice Address |
101 S Main St Cimarron KS 67835-9998 |
| Mailing Address |
Po Box 207 Cimarron KS 67835 |
| Practice Telephone | 6208552242 |
| Practice Fax Number | 6208553616 |
| Mailing Telephone | 6208552242 |
| Mailing Fax Number | 6208553616 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2013-12-04 |
| Authorized Official Name | JAMES COAST (OWNER) |
| Authorized Official Telephone | 6208552242 |
| Authorized Official Credential | RPH CGP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
209276 | KS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2030734 | 01 |
| Other Name | Type Code |
|---|---|
| CLARK PHARMACY INC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801221650 | Clark Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 5305 W Fullerton Ave, Chicago, IL 60639-1424 | 2013-09-12 |
| Street Address |
101 S MAIN ST |
| City | CIMARRON |
| State | KS |
| Zip Code | 67835-9998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609203058 | Monical Drug Inc | Pharmacy | 101 S Main St, Cimarron, KS 67835-8856 | 2013-10-01 |
| 1417246513 | Matthew Dylan Monical | Pharmacist | 101 S Main St, Cimarron, KS 67835-8856 | 2011-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225363120 | Usd 102 Cimarron-ensign | Clinic/Center | 314 North 1st Street, Cimarron, KS 67835 | 2009-10-09 |
| 1487787438 | Tom J Hogan | Emergency Medical Technician, Paramedic | 101 W Ave D, Cimarron, KS 67835 | 2007-03-13 |
| 1891705943 | Trevon Trent Burns | Chiropractor | 19307 East Hwy S, Cimarron, KS 67835 | 2006-08-09 |
| 1023352374 | Western Plains Physician Practices, LLC | Nurse Practitioner | 106 North Main Street, Cimarron, KS 67835 | 2012-11-26 |
| 1962794925 | Living Independent Services | Case Manager/Care Coordinator | 706 N Birch St, Cimarron, KS 67835 | 2011-05-10 |
| 1942474135 | Coast Health Services Inc | Pharmacy | 202 N Main St, Cimarron, KS 67835 | 2008-04-17 |
| 1437331097 | Meade Hospital District | Clinic/Center | 106 N Main, Cimarron, KS 67835 | 2007-12-05 |
| 1902003254 | Randall K Cundiff | Family Medicine | 107 N Main St, Cimarron, KS 67835 | 2007-06-29 |
| 1134347313 | Audrey Lane Neuschafer | Counselor | 317 N Main St, Cimarron, KS 67835 | 2007-04-23 |
| 1104877760 | Randall K Cundiff | Nurse Practitioner | 107 N Main, Cimarron, KS 67835 | 2006-05-16 |
| Find all providers in zip 67835 | ||||
| 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 |
|---|---|---|---|---|
| 1841807120 | Optumrx, Inc. | Pharmacy | 6800 W 115th Street, Suite 600, Overland Park, KS 66211-9838 | 2020-09-30 |
| 1174132161 | Ascension Via Christi Hospitals Wichita Inc. | Pharmacy | 3600 E Harry St Rm 2001, Wichita, KS 67218-3713 | 2020-07-27 |
| 1932724481 | Mt Oread Pharmacy LLC | Pharmacy | 6265 Rock Chalk Drive, Lmh Health West, Suite 1401, Lawrence, KS 66049 | 2020-06-10 |
| 1174143309 | Central Care, Pa | Pharmacy | 8919 Parallel Pkwy Ste 250, Kansas City, KS 66112-1655 | 2020-04-17 |
| 1942829916 | Sharon Lee Family Health Care, Inc | Pharmacy | 2002 S 51st St, Kansas City, KS 66106-2419 | 2020-04-10 |
| 1629617188 | Leekers Valley Center Inc | Pharmacy | 225 S Meridian, Valley Center, KS 67147 | 2020-01-02 |
| 1811536683 | Active Lifestyle Pharmacy LLC | Pharmacy | 7800 Foster St, Overland Park, KS 66204-2955 | 2019-12-27 |
| 1427694611 | Free State Pharmacy LLC | Pharmacy | 3200 Haskell Ave Ste 140, Lawrence, KS 66046-8945 | 2019-11-21 |
| 1588224315 | Gail Reif Inc. | Pharmacy | 2040 Hutton Rd Ste 101, Kansas City, KS 66109-4566 | 2019-06-14 |
| 1356807044 | Dandurand Wellness, Inc. | Pharmacy | 550 N Hillside St Ste 3-100, Wichita, KS 67214-4910 | 2019-02-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CLARK PHARMACY INC.
| 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.