Active NPI
Clark Trickey
- Pharmacist
- Athens, OH
National Provider Identifier
1679447254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03444970
- Practice address
- 555 E State St
Athens, OH 45701-2104 - Phone
- (740) 593-8501
- NPI assigned
- Oct 6, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03444970 | OH | Primary |
Addresses
Primary practice location
555 E State St
Athens, OH 45701-2104
Mailing address
555 E State St
Athens, OH 45701-2104
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03444970 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio CVS Stores LLC | Past | Accepting new patients | |
| Ohio CVS Stores, L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759708800000",
"number": "1679447254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 E STATE ST",
"city": "ATHENS",
"state": "OH",
"postal_code": "457012104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 E STATE ST",
"city": "ATHENS",
"state": "OH",
"postal_code": "457012104",
"telephone_number": "740-593-8501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRICKEY",
"first_name": "CLARK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-10-06",
"last_updated": "2025-10-06",
"certification_date": "2025-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03444970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, OH
- Christopher Trent
- Tri County Mental Health & Counseling
- Tri-County Mental Health & Counseling Services, Inc
- Tri-County Mental Health and Counseling Services, Inc.
- Tri-County Mental Health and Counseling Services, Inc.
- Jasmine Tripp
- Alexis J Trisch
- Morgan A Tritipo, RN
- Stephen Thomas Trotta, PT
- Crystal Trout, M.ED
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.