Clark Drug Company, LLC.

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

CLARK DRUG COMPANY, LLC.

Practice address

206 W 6TH Street
Waynesboro, GA 30830

Phone

(706) 558-3400

NPI assigned

Aug 22, 2019

Last updated

Aug 22, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Benjamin Ross

Title

Ceo

Phone

(912) 531-0095

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Tax ID family

Clark Drug Company LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Clark Drug Company LTC

  • Long Term Care Pharmacy
  • Waynesboro, GA
  • NPI 1881468999
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Starr Clark, PHARMD

  • Pharmacist
  • Waynesboro, GA
  • NPI 1215527361
  NPD
• Sydney April Clark

  • Pharmacist
  • Waynesboro, GA
  • NPI 1720866742
  NPD

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566432000000",
    "number": "1619524865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 946",
            "city": "WAYNESBORO",
            "state": "GA",
            "postal_code": "308300946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 W 6TH STREET",
            "city": "WAYNESBORO",
            "state": "GA",
            "postal_code": "30830",
            "telephone_number": "706-558-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK DRUG COMPANY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-22",
        "last_updated": "2019-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-531-0095"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanna Chesser
• Hyemi Cho, PHARMD
• Steve Cho, RPH
• Johnny F Christian, M.D.
• Clark Drug Company LTC
• Starr Clark, PHARMD
• Sydney April Clark
• Claxton Family Dentistry LLC (Waynesboro Family Dentistry)
• Kaylyn Clifton, FNP-C
• Anna Coble

• Pharmacy in Waynesboro, GA
• Providers in Waynesboro, GA by specialty
• Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.