Larry Cromwell Clark, PHARM.D., M.S.

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

11386 Issued in CO

Practice address

2635 N 7TH St
Grand Junction, CO 81501-8209

Phone

(970) 244-2460

Fax

(970) 244-2842

NPI assigned

Feb 14, 2007

Sex

Male

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

Master of Science, Doctor of Pharmacy

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578606307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 S BROADWAY",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815039646",
            "telephone_number": "970-314-7139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2635 N 7TH ST",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815018209",
            "telephone_number": "970-244-2460",
            "fax_number": "970-244-2842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "LARRY",
        "middle_name": "CROMWELL",
        "name_prefix": "Dr.",
        "credential": "PHARM.D., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "CO",
            "license": "11386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Callee Cosby Clark, DDS
• Darrel Christian Clark, DO
• Elizabeth Clark, MA, LPC
• Haley M Clark, PT, DPT
• Jillian Clark
• Mary Kay Clark, LPC
• Riley Nicole Clark
• Sandra Sue Clark, M.ED.
• Shyliea Rain Clark
• Terry R Clark

• Pharmacotherapy Pharmacist in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Pharmacotherapy Pharmacist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.