Clark Community Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

CLARK COMMUNITY PHARMACY LLC

Practice address

1057 Raritan Rd
Clark, NJ 07066-1316

Phone

(201) 255-4555

Fax

(201) 502-2322

NPI assigned

Sep 30, 2026

Last updated

Sep 30, 2026By 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

Hany Waly

Title

Member

Phone

(201) 255-4555

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1790726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790726400000",
    "number": "1902710551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1057 RARITAN RD",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 RARITAN RD",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661316",
            "telephone_number": "201-255-4555",
            "fax_number": "201-502-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK COMMUNITY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-30",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A",
        "authorized_official_last_name": "WALY",
        "authorized_official_first_name": "HANY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "201-255-4555"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julee Choi
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• City Medical of New Jersey, PC (CityMD Urgent Care)
• Clark Board of Education
• Clark Dermatology LLC (Metropolitan Dermatology)
• Clark Diagnostics LLC
• Clark Nursing and Rehabilitation Center LLC
• Clark Nursing and Rehabilitation Center, LLC
• Clark Pediatrics, LLC

• Community/Retail Pharmacy in Clark, NJ
• Providers in Clark, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.