Active NPIIndividual provider

Mr. John C Clark, PHARM D

Pharmacist in Livingston, New Jersey

NPI Number1063639995
Practice location
5 Regent St, Suite 506, Livingston, NJ 07039-1675
Fax
—
Last updated
July 8, 2007

John C Clark is a Pharmacist based in Livingston, NJ. John C Clark practices in Livingston, NJ and has the professional credentials of PHARM D. The NPI Number for John C Clark is 1063639995 and holds a License No. 28RI03106100 (NJ). The current practice location address for John C Clark is 5 Regent St, Suite 506, Livingston, NJ 07039-1675 and can be reached out via phone at 800-552-3461.

Provider Profile Details

NPI Number
1063639995
Provider Name
John C Clark
Credential
PHARM D
Provider Entity Type
Individual
Gender
Male
Address
5 Regent St, Suite 506, Livingston, NJ 07039-1675
Phone Number
800-552-3461
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
No
Provider Enumeration Date
April 20, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
5 Regent St
Suite 506
Livingston, NJ 07039-1675
Zip
07039-1675
Phone Number
800-552-3461
Livingston, NJ 07039Get directions →

Provider Business Mailing Address Details

Address
173 High St
Nutley, NJ 07110-1176
City
Nutley
State
NJ
Zip
07110-1176
Phone Number
973-667-4904

License Information

License Number
28RI03106100
License State
NJ
Taxonomy
Pharmacist · 183500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. John C Clark, PHARM D?

The NPI number of Mr. John C Clark, PHARM D is 1063639995. It was assigned on April 20, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. John C Clark, PHARM D?

Mr. John C Clark, PHARM D is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in NJ under license number 28RI03106100.

Where does Mr. John C Clark, PHARM D practice?

The practice location is 5 Regent St, Suite 506, Livingston, NJ 07039-1675. The office can be reached at 800-552-3461 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063639995 directly on the NPPES registry website.

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