Mark Clafshenkel, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

1901 Issued in AK

Practice address

1350 S Seward Meridian Pkwy
Wasilla, AK 99654-8332

Phone

(907) 376-9783

NPI assigned

Oct 24, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351036800000",
    "number": "1639422967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 871070",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996871070",
            "telephone_number": "907-376-9783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 S SEWARD MERIDIAN PKWY",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996548332",
            "telephone_number": "907-376-9783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAFSHENKEL",
        "first_name": "MARK",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-24",
        "last_updated": "2012-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AK",
            "license": "1901",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP035890L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lara Diane Church, MD
• Megan Ciana
• Alejandro Jay Cielo
• Kiara Cielo
• Wayne Anthony Cissell, D.C.
• Richard Clampitt
• Adam Dawson Clark
• Christy Clark, LMT
• Devan Clark, LMT
• Elizabeth Marie Clark, LMT

• Pharmacist in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Pharmacist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; 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.