Mary Lisa Clark, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

011797 Issued in KY

Practice address

1670 Starlite Dr
Owensboro, KY 42301-3339

Phone

(270) 926-2340

Fax

(270) 926-3864

NPI assigned

Dec 15, 2020

Last updated

Jul 11, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Kentucky CVS Pharmacy, L.L.C.

  dba CVS Pharmacy# 06264

  • Pharmacy
  • Owensboro, KY
  • NPI 1285737924
  NPD
• Kroger Limited Partnership I

  dba Kroger Pharmacy #473

  • Community/Retail Pharmacy
  • Newport, KY
  • NPI 1104791078
  NPD (past)
• Kroger Limited Partnership I

  dba Kroger Pharmacy

  • Community/Retail Pharmacy
  • Owensboro, KY
  • NPI 1790719516
  NPD (past)

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783728000000",
    "number": "1578159448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6506 LITTLE HICKORY RD",
            "city": "PHILPOT",
            "state": "KY",
            "postal_code": "423669046",
            "telephone_number": "270-314-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 STARLITE DR",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423013339",
            "telephone_number": "270-926-2340",
            "fax_number": "270-926-3864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "MARY",
        "middle_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-15",
        "last_updated": "2026-07-11",
        "certification_date": "2026-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "011797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Kaye Clark, APRN
• Ian Clark, PA
• Jazmyne Clark
• Jill Clark, PHARMD.
• Lindsey Michele Clark, BIS
• Ritchie L Clark, M.D.
• Ronsonlyn S Clark, CADC
• Ryan Alexander Clark, DPT
• Stacy Ann Clark, APRN
• Stephanie K Clark, M SP ED

• Pharmacist in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Pharmacist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.

Verify at the official NPI Registry.