Robert Joseph Clark II

Individual provider Active NPI Pharmacist · Salida, CO

NPI 1376324285 · NPPES record last updated Jan 5, 2026

Key facts

NPI
1376324285
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
070839 (NY)
Practice address
232 G St
Salida, CO 81201-2019
Phone
(719) 539-6933
NPI assigned
Oct 9, 2023
Sex
Male
Sole proprietor
No

Organizations & group practices 4

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Safeway Inc Past Accepting new patients
Wegmans Food Markets, Inc. Past
since Oct 15, 2023
Accepting new patients
Wegmans Food Markets, Inc. Past
since Oct 15, 2023
Accepting new patients
Safeway Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 070839 NY Yes

Addresses

Primary practice location

232 G St
Salida, CO 81201-2019

Mailing address

15 Heatherwood Rd
Fairport, NY 14450-1131
Phone (585) 410-4268

Other providers in Salida, CO

All providers in Salida, CO · Pharmacist in Colorado

Sources for this page

Verify at the official NPI Registry.