IndividualActive
Clinton King, PHARM.D
NPI 1003938937 · Pharmacist · Wagoner, OK
Provider details
- NPI number
- 1003938937
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARM.D
- Sex
- Male
- Sole proprietor
- No
- License
- 13192 (OK)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
410 S Dewey Ave
Wagoner, OK 74467-5500
Phone: (918) 485-4581
Street-level locationGet directions
Mailing address
20200 E 43rd St
Broken Arrow, OK 74014-1582
Registry dates
- Enumerated
- 2007-04-04
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.