Active NPI
Clint D Patrick, PHARM.D.
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- McDonough, GA
National Provider Identifier
1285232074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- RPH025592
- Practice address
- 301 Jonesboro Rd
McDonough, GA 30253-3725 - Phone
- (770) 954-7370
- NPI assigned
- Oct 13, 2020
- Last updated
- May 27, 2026
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RPH025592 | GA | Primary |
Addresses
Primary practice location
301 Jonesboro Rd
McDonough, GA 30253-3725
Mailing address
236 Barnes Rd
Jackson, GA 30233-5481
Phone (770) 402-0903
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RPH025592 | Other | GA | BOARD OF PHARMACY |
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 |
|---|---|---|---|
| RPH025592 | GA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779840000000",
"number": "1285232074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "236 BARNES RD",
"city": "JACKSON",
"state": "GA",
"postal_code": "302335481",
"telephone_number": "770-402-0903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 JONESBORO RD",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302533725",
"telephone_number": "770-954-7370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATRICK",
"first_name": "CLINT",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-13",
"last_updated": "2026-05-27",
"certification_date": "2026-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "GA",
"license": "RPH025592",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY",
"identifier": "RPH025592",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McDonough, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.