Clarks RX LLC
Organization Active NPI Long Term Care Pharmacy · Centerville, OH
NPI 1154574010 · NPPES record last updated Jul 16, 2026
Key facts
- NPI
- 1154574010
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Long Term Care Pharmacy 3336L0003X
- License
- 021907400 (OH)
- Legal business name
- CLARKS RX LLC
- Practice address
- 922 Senate Dr
Centerville, OH 45459-4017 - Phone
- (937) 610-3051
- Fax
- (937) 610-3048
- NPI assigned
- Oct 23, 2008
- Organization subpart
- No
Authorized official
- Name
- Timothy Clark
- Title
- President
- Phone
- (937) 610-3051
Other NPIs on the same Medicare enrollment 7
Corporate family (same tax ID) 2
Practitioners 2
-
Patrick Howell, PHARMD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070904000340 | OH | Part B Supplier - Mass Immunization (Roster Biller Only) | 9335232503 |
11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Centerville, OH; Huber Heights, OH |
National Provider Directory
- Tax ID family
- Clarks RX LLC
Locations
7060 Solutions Ctr
Chicago, IL 60677
922 Senate Dr
Dayton, OH 45459
Phone (937) 610-3051
710 S Breiel Blvd
Ste A
Middletown, OH 45044
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Long Term Care Pharmacy | 3336L0003X | 021907400 | OH | Yes |
Addresses
Primary practice location
922 Senate Dr
Centerville, OH 45459-4017
Mailing address
922 Senate Dr
Centerville, OH 45459-4017
Phone (937) 610-3051
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2117533 | Other | PK |
Other names
- Independent RX Long Term Care
Other providers in Centerville, OH
- Christopher Reeder & Associates Plastic Surgery LLC
- Michael Joseph Ciaramitaro
- Sarah Cicconetti
- Kathryn Cisler
- Max A Clark
- Clarkson Optometry Midwest Inc
- Clarkson Optometry Midwest Inc
- Christopher Chase Cleverly
- Kori Clyburn
- Clyo Internal Medicine, Inc.
All providers in Centerville, OH · Long Term Care Pharmacy in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.