Cody Clark, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

54805 Issued in TX

Practice address

1229 Reserve Blvd Ste 100a
Spring Hill, TN 37174-3273

Phone

(931) 487-1700

NPI assigned

Sep 1, 2021

Last updated

Sep 1, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clark's Tennessee Pharmacy LLC

  dba Big Country Dermatology Pharmacy

  • Pharmacy
  • Spring Hill, TN
  • NPI 1598339566
  NPD Authorized official
• Cip Northside LLC

  dba Taylor County Pharmacy

  • Community/Retail Pharmacy
  • Abilene, TX
  • NPI 1831635697
  NPD Authorized official
• Cip Northside LLC

  dba CIP Northside Pharmacy

  • Community/Retail Pharmacy
  • Abilene, TX
  • NPI 1891381265
  NPD Authorized official
• Clark's Specialty Pharmacy

  dba Big Country Dermatology Pharmacy

  • Pharmacy
  • Abilene, TX
  • NPI 1497125959
  NPD Authorized official

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1972271260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1099 MCAVOY DR",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370641960",
            "telephone_number": "806-773-5958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 RESERVE BLVD STE 100A",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "371743273",
            "telephone_number": "931-487-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "CODY",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "54805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Rebecca Childs, BSPT
• Geetika Chirumamilla, DDS
• Emily Rita Chitwood
• Kimberly Chrisman, CPRS, LAADAC TRACK
• Nicole Christensen
• Clark's Tennessee Pharmacy LLC (Big Country Dermatology Pharmacy)
• Climb Intensive Pediatric Therapy
• Clsrs Inc (Comfort Keepers 795)
• Elizabeth Claire Cobb, OTR/L
• Madelyn Coffey

• Pharmacist in Spring Hill, TN
• Providers in Spring Hill, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.