Timothy Hall Clark, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

12114 Issued in NC

Practice address

295 Pinehurst Ave
Ste 2
Southern Pines, NC 28387-7051

Phone

(910) 246-5155

Fax

(910) 246-5157

NPI assigned

Sep 19, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9959/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Health Innovations of Laurinburg, Inc.

  • Clinic Pharmacy
  • Laurinburg, NC
  • NPI 1134678774
  NPD Authorized official
• Health Innovations Pharmacy of Laurinburg Inc

  • Community/Retail Pharmacy
  • Laurinburg, NC
  • NPI 1639565989
  NPD

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546560000000",
    "number": "1124420260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 PINEHURST AVE",
            "address_2": "STE 2",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283877051",
            "telephone_number": "910-246-5155",
            "fax_number": "910-246-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 PINEHURST AVE",
            "address_2": "STE 2",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283877051",
            "telephone_number": "910-246-5155",
            "fax_number": "910-246-5157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "TIMOTHY",
        "middle_name": "HALL",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-19",
        "last_updated": "2019-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "12114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly A Christensen, LCSW
• Thomas Christensen
• Christina L. Powers, DDS, PLLC
• Justin Clark, BA HISTORY
• Kevin Lee Clark Jr., LCAS-A
• Kathleen M. Clarke-Pearson, M.D.
• Classic Care Cap Services
• CNC / Access, Inc.
• Coastal Horizons Center
• Coastal Horizons Center Inc

• Pharmacist in Southern Pines, NC
• Providers in Southern Pines, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; 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.