Clarks Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201002540 Issued in VA

Legal business name

CLARKS PHARMACY INC

Practice address

119 A N Main Street
Farmville, VA 23901

Phone

(434) 392-1411

Fax

(434) 392-1991

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Jerry Clark

Title

Pres

Phone

(434) 392-8665

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• CLARKS PHARMACY INC Doing business as

Locations

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1083707293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239010247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 A N MAIN STREET",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "23901",
            "telephone_number": "434-392-1411",
            "fax_number": "434-392-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "434-392-8665"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201002540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2104739",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008502722",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLARKS PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Chassey, LPC
• Joe Chen
• Chest Diseases and Internal Medicine, P.C.
• Joel Clark I, COTA
• Sherry Clark, LPC
• Clearview Counseling PLLC
• Commonwealth of Virginia State Board of Health
• Commonwealth Pediatric Dentistry, PLLC
• Commonwealth Pediatric Dentistry, PLLC
• Daniel Cook

• Community/Retail Pharmacy in Farmville, VA
• Providers in Farmville, VA by specialty
• Community/Retail Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; 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.