Clarks Medical Center Pharmacy

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

0000001154 Issued in TN

Legal business name

CLARKS MEDICAL CENTER PHARMACY

Practice address

206 Roberts St
Livingston, TN 38570-1506

Phone

(931) 823-5534

Fax

(931) 823-5534

NPI assigned

Oct 12, 2006

Last updated

Aug 22, 2020By 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

Malcolm D. Clark, DPH

Title

Pharmacist/Manager/Owner

Phone

(931) 823-5534

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740379080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 ROBERTS ST",
            "city": "LIVINGSTON",
            "state": "TN",
            "postal_code": "385701506",
            "telephone_number": "931-823-5534",
            "fax_number": "931-823-5534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 ROBERTS ST",
            "city": "LIVINGSTON",
            "state": "TN",
            "postal_code": "385701506",
            "telephone_number": "931-823-5534",
            "fax_number": "931-823-5534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKS MEDICAL CENTER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "MALCOLM",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PHARMACIST/MANAGER/OWNER",
        "authorized_official_telephone_number": "931-823-5534",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "TN",
            "license": "0000001154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Canter
• Kelli Carr, APN
• Kelly Carter
• Amy Ruth Carty, PT, DPT
• Timothy Brooks Cherry, ATC
• Barton M. Clements, MD
• John R Clough, M.D.
• Mechele Therese Clough, DPT
• Nicholas Clough, MD
• Nathan Robert Coats, PT, DPT

• Health Maintenance Organization in Livingston, TN
• Providers in Livingston, TN by specialty
• Health Maintenance Organization in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.