Michael Joseph Clark

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS17444 Issued in FL

Practice address

14447 Country Walk Dr
Miami, FL 33186-8104

Phone

(305) 251-7414

Fax

(305) 251-3878

NPI assigned

Feb 21, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mike Clark Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1851099642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15641 SW 86TH AVE",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331572142",
            "telephone_number": "305-251-7414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14447 COUNTRY WALK DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331868104",
            "telephone_number": "305-251-7414",
            "fax_number": "305-251-3878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-21",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS17444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "icare@340bpharm.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "csv",
            "address_1": "14447 Country Walk Dr",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331868104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MIKE",
            "last_name": "CLARK",
            "credential": "PHARMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Curtis Robert Clark, P.T.
• Dwight Lamont Clark
• Gabriella Gonzalez Clark, PT, DPT
• John Elbert Clark, PHARMD
• Lian-Kim Clark
• Tahnee Morgan Clark, APRN
• Theodore Ronald Clark Jr.
• Dayna J Clarke-Cameron, M.D.
• Cheryl Cordia Clarke, ARNP
• Cordelia A Clarke, FNP-BC

• Pharmacist in Miami, FL
• Providers in Miami, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.