IndividualActive
Tanya Clark, RPH
NPI 1366042566 · Pharmacist · Bentonville, AR
Provider details
- NPI number
- 1366042566
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- RPH
- Sex
- Female
- Sole proprietor
- No
- License
- PD09503 (AR)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(68/100 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
2 documented practice locations
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
3500 Se Club Blvd
Bentonville, AR 72712-5182
Phone: (479) 621-0283
Street-level locationGet directions
Mailing address
302 Cascade Ln
Cave Springs, AR 72718-5504
Additional practice locations (1)
- 302 Cascade LnCave Springs, AR 72718-5504Phone: (479) 721-9267
Registry dates
- Enumerated
- 2020-10-27
- Last updated
- 2020-10-27
- Certified
- 2020-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.