Clear Med Solutions LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

AR20856 Issued in AR

Legal business name

CLEAR MED SOLUTIONS LLC

Practice address

2805 SW 14TH St Ste 11
Bentonville, AR 72712-3545

Phone

(479) 439-4544

Fax

(888) 622-9630

NPI assigned

Nov 17, 2016

Organization subpart

No

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

Authorized official

Name

Zach Holderfield

Title

Partner

Phone

(870) 814-0605

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Tax ID family

Clear Med Solutions 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.

• Clear Med Solutions LLC

  • Long Term Care Pharmacy
  • Bentonville, AR
  • NPI 1255164059
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Clear Med Solutions LLC

  • Long Term Care Pharmacy
  • Bentonville, AR
  • NPI 1255164059
  NPPES parent name

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

{
    "created_epoch": "1479340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1760924088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8070",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727030001",
            "telephone_number": "479-439-4544",
            "fax_number": "888-622-9630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 SW 14TH ST STE 11",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123545",
            "telephone_number": "479-439-4544",
            "fax_number": "888-622-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR MED SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-17",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HOLDERFIELD",
        "authorized_official_first_name": "ZACH",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "870-814-0605"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "AR",
            "license": "AR20856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2167290",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacy Marie Clark
• Tanya Ray Clark, RPH
• Tyler Clark
• Christina Clausen, MHPP
• Clear Med Solutions LLC
• Clear Vision Counseling LLC
• Mildred Murphy Clifton, M.D.
• Cmtherapy LLC
• Jeffrey David Coats
• Korie Cochran

• Long Term Care Pharmacy in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Long Term Care Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.