Clarkson Square Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

4170 Issued in MO

Legal business name

CLARKSON SQUARE PHARMACY INC

Practice address

1737 Clarkson Rd
Chesterfield, MO 63017-4977

Phone

(636) 532-6060

Fax

(636) 532-5001

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Brett Williams

Title

President

Phone

(636) 532-6060

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1972698520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1737 CLARKSON RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630174977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1737 CLARKSON RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630174977",
            "telephone_number": "636-532-6060",
            "fax_number": "636-532-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKSON SQUARE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-532-6060"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "4170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2620309",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clarkson Optometry Inc
• Clarkson Optometry Inc
• Clarkson Optometry Inc
• Clarkson Optometry Inc
• Clarkson Oral Surgery
• Clayton Internal Medicine, LLC
• Clear Skies Psychiatry LLC
• Michael J Cleary, M.D.
• Allison Clemons, PHARM.D., BCPS, BCCP
• Brittney Clifton, BCBA

• Community/Retail Pharmacy in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.