What is Michael Clark's NPI number?

Michael Clark's National Provider Identifier (NPI) is 1174622930, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Michael Clark's specialty?

Michael Clark is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).

Where is Michael Clark located?

Michael Clark's practice location on file with NPPES is 410 South St, Cleveland, MS 38732-3450.

What is Michael Clark's phone number?

The practice phone number listed in the NPPES registry for Michael Clark is (662) 843-6700.

Is Michael Clark's NPI active?

Yes — Michael Clark's NPI (1174622930) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Michael Clark

NPI 1174622930 · Pharmacist · Cleveland, MS

Michael Clark is a Pharmacist provider in Cleveland, MS (NPI 1174622930).

Provider details

NPI number: 1174622930
Entity type: Individual
Primary specialty: PharmacistPharmacy Service Providers
Sex: Male
Sole proprietor: Yes
License: 05857 (MS)

Specialties & taxonomies

PharmacistPrimary183500000XLicense 05857 (MS)
Pharmacy Service Providers

Profile Score

Detailed profile(90/100 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 South St

Cleveland, MS 38732-3450

Phone: (662) 843-6700

Fax: (662) 846-6700

Street-level locationGet directions

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Mailing address