Matthew Louis Clark, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

03233300 Issued in OH

Practice address

4747 Sawmill Rd
Columbus, OH 43220-2490

Phone

(614) 923-0481

NPI assigned

Mar 4, 2017

Last updated

Mar 4, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

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

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.

• The Tamarkin Company

  dba Giant Eagle Pharmacy 6504

  • Community/Retail Pharmacy
  • Columbus, OH
  • NPI 1679588594
  NPD (past)
• The Tamarkin Company

  dba Giant Eagle Pharmacy #4093

  • Community/Retail Pharmacy
  • Erie, PA
  • NPI 1427063353
  NPD (past)

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

{
    "created_epoch": "1488585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488585600000",
    "number": "1588104913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 SAWMILL RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202490",
            "telephone_number": "614-923-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 SAWMILL RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202490",
            "telephone_number": "614-923-0481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "MATTHEW",
        "middle_name": "LOUIS",
        "name_prefix": "Mr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-04",
        "last_updated": "2017-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03233300",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "60124",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03777300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylee Clark
• Kelly A Clark, C.R.N.A.
• Kenneth Morris Clark Jr.
• Laura Clark, PHARM.D
• Maria Clark, LPN
• Megan Elizabeth Hoppert Clark, OTR
• Melissa Clark, LMT
• Melissa Clark
• Meredith Clark, CNP
• Meredith Kelly Clark, MSN, APRN, FNP-BC

• Pharmacist in Columbus, OH
• Providers in Columbus, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2017; 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.