CLARK'S SPECIALTY PHARMACY (NPI# 1497125959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497125959 |
| Entity Type | Organization |
| Organization Name | CLARK'S SPECIALTY PHARMACY |
| Other Organization Name | CLARX BIG COUNTRY DERMATOLOGY PHARMACY |
| Practice Address |
17 Windmill Cir Ste B Abilene TX 79606-5234 |
| Mailing Address |
3410 98th St Ste 4-369 Lubbock TX 79423-3847 |
| Practice Telephone | 3257045222 |
| Mailing Telephone | 8064514799 |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2020-07-29 |
| Authorized Official Name | CODY CLARK (MANAGER) |
| Authorized Official Telephone | 8067735958 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 30242 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2153704 | 01 |
| Other Name | Type Code |
|---|---|
| Big Country Pharmacy | Doing Business As Name - Organization |
| claRx Big Country Dermatology Pharmacy | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1640 State Highway 351 Ste B, Abilene, TX 796014746 | 3257045222 |
| Street Address |
17 WINDMILL CIR STE B |
| City | ABILENE |
| State | TX |
| Zip Code | 79606-5234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235746793 | Tara Ann Patrick | Social Worker | Veterans Affairs, 3850 Ridgemont, Abilene, TX 79606 | 2020-09-29 |
| 1740815398 | Kevin William Regan | General Practice | 5326 Meadow Dr., Abilene, TX 79606 | 2020-03-04 |
| 1548800725 | Valentina Walls | Registered Nurse | 14 Verbena St., Abilene, TX 79606 | 2020-01-15 |
| 1932649803 | Palo Pinto County Hospital District | Skilled Nursing Facility | 6050 Hospital Drive, Abilene, TX 79606 | 2017-02-27 |
| 1679925127 | Tania Marie Oyola Rosario | Family Medicine | 6300 Regional Plz Ste 260, Abilene, TX 79606 | 2016-07-08 |
| 1972973196 | Brian Stuart | Specialist/Technologist | 4502 Antilley Rd, Abilene, TX 79606 | 2015-09-30 |
| 1255723151 | Megan Blair Greenway | Specialist/Technologist, Other | 7325 Clariece Drive, Abilene, TX 79606 | 2015-03-02 |
| 1215280698 | James T.s. O'neal II | Physician Assistant | 697 Louisianna Drive, Dyess Afb, TX 79606 | 2012-10-22 |
| 1548522675 | Chukwuemeka Charles Ezeoke | Internal Medicine | 1680 Antilley Rd Ste 120, Abilene, TX 79606 | 2012-06-14 |
| 1801152152 | Jeffrey Darren Edwards | Internal Medicine | 5302 Buffalo Gap Road, Suite 104, Abilene, TX 79606 | 2012-04-11 |
| Find all providers in zip 79606 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831635697 | Cip Northside LLC | Pharmacy | 1640 State Highway 351, Abilene, TX 79601-4746 | 2017-01-17 |
| 1578878294 | L & B Drug Inc | Pharmacy | 4601 S 14th St, Abilene, TX 79605-4734 | 2010-08-18 |
| 1912068776 | L & B Drug Inc | Pharmacy | 701 Hickory St, Abilene, TX 79601-5005 | 2006-12-13 |
| 1578584546 | James Mccoys Drug Store South LLC | Pharmacy | 1725 Antilley Rd, Abilene, TX 79606-5204 | 2006-07-22 |
| 1013954452 | United Supermarkets LLC | Pharmacy | 4450 Buffalo Gap Rd, Abilene, TX 79606-2703 | 2006-06-02 |
| 1740227206 | Albertsons LLC | Pharmacy | 4701 S 14th St, Abilene, TX 79605-4732 | 2006-06-01 |
| 1679137970 | Amy M Gebhart | Pharmacy | 3301 S 14th St, Abilene, TX 79605-5015 | 2019-04-23 |
| 1023535283 | Auburn Pharmacy LLC | Pharmacy | 1518 N Buckeye Ave, Abilene, KS 67410-1538 | 2017-08-28 |
| 1588107882 | Hendrick Hospice Care Inc | Pharmacy | 1651 Pine St, Abilene, TX 79601-3041 | 2016-11-18 |
| 1811928815 | Kmart Stores of Texas LLC | Pharmacy | 4565 S 1st St, Abilene, TX 79605-1427 | 2006-07-06 |
| Find all providers in ABILENE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.