Karen Michelle Clark, PHARMD
Individual provider Active NPI Pharmacist · Roxboro, NC
NPI 1649034828 · NPPES record last updated Feb 8, 2024
Key facts
- NPI
- 1649034828
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 31314 (NC)
- Practice address
- 719 N Main St
Roxboro, NC 27573-4701 - Phone
- (336) 599-9293
- Fax
- (336) 599-4741
- NPI assigned
- Feb 8, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31314 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Pharmacy of Roxboro Inc | Pharmacist | Current |
Accepting new patients |
Locations
719 N Main St
Roxboro, NC 27573
Phone (336) 599-9293
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 31314 | NC | Yes |
Addresses
Primary practice location
719 N Main St
Roxboro, NC 27573-4701
Mailing address
719 N Main St
Roxboro, NC 27573-4701
Phone (336) 599-9293
Other providers in Roxboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.