Active NPI
John Kurt Clark, PHARMD
- Pharmacist
- Bee Cave, TX
National Provider Identifier
1265259287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 68884
- Practice address
- 14057 Bee Cave Pkwy
Bee Cave, TX 78738-6523 - Phone
- (512) 263-8750
- NPI assigned
- Sep 21, 2024
- Last updated
- Sep 21, 2024
- 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 | 68884 | TX | Primary |
Addresses
Primary practice location
14057 Bee Cave Pkwy
Bee Cave, TX 78738-6523
Mailing address
14057 Bee Cave Pkwy
Bee Cave, TX 78738-6523
Phone (512) 263-8750
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 |
|---|---|---|---|
| 68884 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy Inc | Past | Accepting new patients | |
| CVS Pharmacy Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726876800000",
"number": "1265259287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14057 BEE CAVE PKWY",
"city": "BEE CAVE",
"state": "TX",
"postal_code": "787386523",
"telephone_number": "512-263-8750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14057 BEE CAVE PKWY",
"city": "BEE CAVE",
"state": "TX",
"postal_code": "787386523",
"telephone_number": "512-263-8750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "JOHN",
"middle_name": "KURT",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-21",
"last_updated": "2024-09-21",
"certification_date": "2024-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "68884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bee Cave, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.