Timothy Clark, PHARMD
Individual provider Active NPI Pharmacist · Rockingham, NC
NPI 1144948878 · NPPES record last updated Aug 18, 2022
Key facts
- NPI
- 1144948878
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 31553 (NC)
- Practice address
- 720 E US Highway 74
Rockingham, NC 28379-7206 - Phone
- (910) 582-3565
- NPI assigned
- Aug 18, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31553 | NC | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 31553 | NC | Yes |
Addresses
Primary practice location
720 E US Highway 74
Rockingham, NC 28379-7206
Mailing address
138 Fairwood Rd
Rockingham, NC 28379-9485
Phone (910) 995-8776
Other providers in Rockingham, NC
- Rodney Masten Chapman
- Jayde Chisholm
- Stephen Kun Chiu
- Choice Pediatrix PA
- Lori Clark
- Clewis Spine and Joint Center
- Angela Marie Clifton
- April Cline
- Clover Community Care LLC
- Crystal Moran Coen
All providers in Rockingham, NC · Pharmacist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.