IndividualActive
Jymon Clark, PHARMD
NPI 1174245187 · Pharmacist · Concord, NC
Jymon Clark, PHARMD is a Pharmacist provider in Concord, NC (NPI 1174245187).
Provider details
- NPI number
- 1174245187
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- License
- 31427 (NC)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
920 Church St N
Concord, NC 28025-2927
Phone: (704) 403-3000
Street-level locationGet directions
Mailing address
5215 Periwinkle Hill Avenue
Charlotte, NC 28213
Registry dates
- Enumerated
- 2022-09-15
- Last updated
- 2022-09-15
- Certified
- 2022-09-12
Frequently asked questions
- What is Jymon Clark's NPI number?
- Jymon Clark's National Provider Identifier (NPI) is 1174245187, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jymon Clark's specialty?
- Jymon Clark is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Jymon Clark located?
- Jymon Clark's practice location on file with NPPES is 920 Church St N, Concord, NC 28025-2927.
- What is Jymon Clark's phone number?
- The practice phone number listed in the NPPES registry for Jymon Clark is (704) 403-3000.
- Is Jymon Clark's NPI active?
- Yes — Jymon Clark's NPI (1174245187) is active in the NPPES registry as of the last update on 2022-09-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.