IndividualActive
Douglas Clark, PHARMD
NPI 1174113716 · Pharmacist · Pueblo, CO
Douglas Clark, PHARMD is a Pharmacist provider in Pueblo, CO (NPI 1174113716).
Provider details
- NPI number
- 1174113716
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- License
- 0020582 (CO)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
25140 E US Highway 50
Pueblo, CO 81006-9775
Phone: (719) 544-1371
Street-level locationGet directions
Mailing address
693 S Mccoy Dr
Pueblo West, CO 81007-1720
Registry dates
- Enumerated
- 2021-01-18
- Last updated
- 2021-01-18
- Certified
- 2021-01-18
Frequently asked questions
- What is Douglas Clark's NPI number?
- Douglas Clark's National Provider Identifier (NPI) is 1174113716, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Douglas Clark's specialty?
- Douglas Clark is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Douglas Clark located?
- Douglas Clark's practice location on file with NPPES is 25140 E US Highway 50, Pueblo, CO 81006-9775.
- What is Douglas Clark's phone number?
- The practice phone number listed in the NPPES registry for Douglas Clark is (719) 544-1371.
- Is Douglas Clark's NPI active?
- Yes — Douglas Clark's NPI (1174113716) is active in the NPPES registry as of the last update on 2021-01-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.