Clark'S Pharmacy Inc

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

CF00002400 Issued in WA

Legal business name

CLARK'S PHARMACY INC

Practice address

15615 Bel Red Rd
Bellevue, WA 98008-2300

Phone

(425) 881-0222

NPI assigned

Feb 8, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark Clark

Title

Owner

Phone

(425) 881-0222

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508907130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15615 BEL RED RD",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980082300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15615 BEL RED RD",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980082300",
            "telephone_number": "425-881-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK'S PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-881-0222"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "WA",
            "license": "CF00002400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Clark, OTR/L
• Nancy L Clark, PA-C
• Robert Leon Clark, MD
• Shauna Clark, RN
• Vanessa Christina Clark, PA
• Megan Clarke, MA, LMFTA
• Margaret Clarkson
• Ivone Claros-Carvalho, L.M.P.
• William Clave, D.M.D
• Barbara Clavel

• Compounding Pharmacy in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Compounding Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.