Active NPI
Hayden Knight Clark, PHARMD
- Pharmacist
- Cedar City, UT
National Provider Identifier
1255011540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9828116-1701
- Practice address
- 1948 W Cross Hollow Rd
Cedar City, UT 84720-8325 - Phone
- (435) 868-4009
- NPI assigned
- Jul 20, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 9828116-1701 | UT | Primary |
Addresses
Primary practice location
1948 W Cross Hollow Rd
Cedar City, UT 84720-8325
Mailing address
427 W 2150 N
Cedar City, UT 84721-7180
Phone (435) 592-3033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9828116-1701 | UT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1948 W Cross Hollow Rd
Cedar City, UT 84720
Phone (435) 868-4009
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689811200000",
"number": "1255011540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "427 W 2150 N",
"city": "CEDAR CITY",
"state": "UT",
"postal_code": "847217180",
"telephone_number": "435-592-3033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1948 W CROSS HOLLOW RD",
"city": "CEDAR CITY",
"state": "UT",
"postal_code": "847208325",
"telephone_number": "435-868-4009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "HAYDEN",
"middle_name": "KNIGHT",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-20",
"last_updated": "2023-07-20",
"certification_date": "2023-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "9828116-1701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.