IndividualActive
Kenneth Clark
NPI 1821119959 · Pharmacist · Pascagoula, MS
Kenneth Clark is a Pharmacist provider in Pascagoula, MS (NPI 1821119959).
Provider details
- NPI number
- 1821119959
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- E-06773 (MS)
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
4211 Hospital St Ste 104
Pascagoula, MS 39581-5310
Phone: (228) 762-1940
Fax: (228) 762-7786
Street-level locationGet directions
Mailing address
2415 Beach Blvd
Pascagoula, MS 39567-1422
Registry dates
- Enumerated
- 2007-04-03
- Last updated
- 2017-11-15
Frequently asked questions
- What is Kenneth Clark's NPI number?
- Kenneth Clark's National Provider Identifier (NPI) is 1821119959, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Clark's specialty?
- Kenneth Clark is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Kenneth Clark located?
- Kenneth Clark's practice location on file with NPPES is 4211 Hospital St Ste 104, Pascagoula, MS 39581-5310.
- What is Kenneth Clark's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Clark is (228) 762-1940.
- Is Kenneth Clark's NPI active?
- Yes — Kenneth Clark's NPI (1821119959) is active in the NPPES registry as of the last update on 2017-11-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.