CAROL CLARK (NPI# 1841321940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841321940 |
| Entity Type | Organization |
| Organization Name | CAROL CLARK |
| Other Organization Name | CLARKS FAMILY PHARMACY |
| Practice Address |
621 Commerce St Earle AR 72331-1616 |
| Practice Telephone | 8707927177 |
| Practice Fax Number | 8707929005 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2017-02-21 |
| Authorized Official Name | CAROL CLARK (PHARMACIST AND MANAGER) |
| Authorized Official Telephone | 8707927177 |
| Authorized Official Credential | PHARMD |
| 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 |
AR19350 | AR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 1988108 | 01 | |
| AR | 129940407 | 05 |
| Other Name | Type Code |
|---|---|
| CLARKS FAMILY PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497210355 | Carol Clark | Pharmacy | 134 Block St, Marion, AR 72364-1956 | 2019-02-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | CAROL CLARK CONSULTING, C3 LLC | 10 Greens Farms Holw, Westport, CT 06880 |
| Street Address |
621 COMMERCE ST |
| City | EARLE |
| State | AR |
| Zip Code | 72331-1616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619051737 | Fongs Drugs | Pharmacy | 621 Commerce St, Earle, AR 72331-1616 | 2006-10-25 |
| 1649734310 | Carol Riley Clark | Pharmacist | 621 Commerce St, Earle, AR 72331-1616 | 2019-01-28 |
| 1619011186 | Jessie J Fong | Pharmacist | 621 Commerce St, Earle, AR 72331-1616 | 2007-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508082074 | Hyter Rezell Alexander | Counselor | 320 Lee Street, Earle, AR 72331 | 2007-04-17 |
| 1225185499 | Rhonda Laster | Counselor | 320 Lee Ave, Earle, AR 72331 | 2007-01-03 |
| 1437367745 | Earle School District | Speech-Language Pathologist | 1401 3rd St, Earle, AR 72331-1353 | 2007-05-18 |
| 1942418819 | Hyman Vision Clinic | Optometrist | 710 Commerce St, Earle, AR 72331-1419 | 2007-05-21 |
| 1639319411 | Sudesh Banaji Md Pllc | Family Medicine | 1605 Second Street, Earle, AR 72331-1634 | 2009-03-06 |
| 1205899572 | Purnima Sarkar | Internal Medicine | 1605 2nd St, Earle, AR 72331-1634 | 2006-04-08 |
| 1316593122 | Marka Morgan Ahrent | Nurse Practitioner | 1605 2nd St, Earle, AR 72331-1634 | 2019-08-16 |
| 1285162453 | Ashley Vance Harvey | Nurse Practitioner | 1605 2nd St, Earle, AR 72331-1634 | 2017-05-31 |
| 1104293018 | Jillian Harris | Clinical Nurse Specialist | 1605 2nd St, Earle, AR 72331-1634 | 2015-08-26 |
| 1578884730 | Matthew Carey | Speech-Language Pathologist | 1605 2nd St, Earle, AR 72331-1634 | 2010-06-22 |
| Find all providers in zip 72331 | ||||
| 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 |
|---|---|---|---|---|
| 1356942320 | Freda Cunningham | Pharmacy | 2100 Hwy 77, Marion, AR 72364 | 2020-11-05 |
| 1457978157 | Sc Pharmacy Group Opco LLC | Pharmacy | 1800 Riverfront Dr Ste 100, Little Rock, AR 72202-1882 | 2020-06-29 |
| 1790306124 | Jbr Enterprises Inc | Pharmacy | 600 Hwy 365, Mayflower, AR 72106 | 2020-04-27 |
| 1215557905 | Medman23, Inc | Pharmacy | 3201 Springhill Dr Ste 110, North Little Rock, AR 72117-2910 | 2020-04-22 |
| 1336768985 | Harps Food Stores, Inc | Pharmacy | 611 Highway 62 65 N, Harrison, AR 72601-2208 | 2020-04-14 |
| 1598393605 | Highlands Oncology Group Pa | Pharmacy | 3901 Parkway Circle, Springdale, AR 72762 | 2020-04-01 |
| 1326674870 | Caraway Drug L.l.c | Pharmacy | 106 W. State Street, Caraway, AR 72419 | 2020-03-17 |
| 1104461532 | Pruett's Food, Inc. | Pharmacy | 101 W. Main, Lockesburg, AR 71846 | 2019-11-08 |
| 1760025274 | Holiday Island Pharmacy, LLC | Pharmacy | 2 Forest Park Dr Ste A, Holiday Island, AR 72631-9229 | 2019-10-28 |
| 1730722463 | Beebe Family Pharmacy, LLC | Pharmacy | 1701 W Dewitt Henry Dr, Beebe, AR 72012-2024 | 2019-10-25 |
| 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.