Clark Pharmacy Services, LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

11322 Issued in CO

Legal business name

CLARK PHARMACY SERVICES, LLC

Practice address

1150 Cambrook CT
Monument, CO 80132-8488

Phone

(719) 481-0021

NPI assigned

Jan 4, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. John Bruce Clark, RPHNPI 1932439346

Title

Member

Phone

(719) 481-0021

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Bruce Clark, RPH

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Monument, CO
  • NPI 1932439346
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262563200000",
    "number": "1013247667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 CAMBROOK CT",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801328488",
            "telephone_number": "719-481-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 CAMBROOK CT",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801328488",
            "telephone_number": "719-481-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK PHARMACY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-04",
        "last_updated": "2010-01-04",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "719-481-0021",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CO",
            "license": "11322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Changing Points LLC
• Julia Chervinka, RD
• Socheatta Chim Chan
• Amy Christenson, PTA
• Denise Ivonne Clare, DMD
• John Bruce Clark, RPH
• Brittany Renee Claypool, LPC, LAC
• Trent Claypool, PSY.D.
• William Earl Cleghorn III
• Thomas Harland Close, D.C.

• Health Maintenance Organization in Monument, CO
• Providers in Monument, CO by specialty
• Health Maintenance Organization in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.