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CALEDONIA PHARMACY
NPI 1013294461
Pharmacy - Community/Retail Pharmacy in Caledonia, MS

Active since November 14, 2011
741 MAIN ST, CALEDONIA, MS 39740(662) 356-4000(662) 356-4044 Get Directions Write a Review

NPPES record last updated: May 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Caledonia Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CALEDONIA PHARMACY (NPI 1013294461) is a healthcare organization registered as a community/retail pharmacy in Caledonia, Mississippi and active in the NPI registry since November 2011. The organization lists Robert Justin Clark, Owner/ Pharmacist In Charge, as its authorized official.

NPPES Registry Identity

NPI1013294461
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCLARK DRUG COMPANY, LLC
Location Address741 MAIN STCaledonia, MS 39740-7609
Mailing AddressPo Box 478Caledonia, MS 39740-0478 · (662) 356-4000 · Fax (662) 356-4044
Phone(662) 356-4000
Fax(662) 356-4044
Organization SubpartNo
Authorized OfficialRobert Justin ClarkOwner/ Pharmacist In Charge · (662) 356-4000
Enumeration DateNovember 14, 2011
Last NPPES UpdateMay 19, 2023
NPPES CertifiedMay 19, 2023
✔ NPI 1013294461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MS · 09552/1.1
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
741 MAIN ST, Caledonia, MS 39740
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Other Names 1

Doing Business AsCaledonia Pharmacy

Other Identifiers 1

Medicaid03406798MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBERT JUSTIN CLARK PHARMD
Pharmacist
741 MAIN ST
CALEDONIA, MS 39740
Lowndes County (662) 356-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clark Drug Company, LLC's NPI number?

The NPI number for Clark Drug Company, LLC is 1013294461. It was assigned to this organization in the NPPES registry on November 14, 2011. The provider is doing business as Caledonia Pharmacy.

Where is Clark Drug Company, LLC located?

Clark Drug Company, LLC is located at 741 Main St, Caledonia, MS 39740. The listed phone number is (662) 356-4000.

What is Clark Drug Company, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Clark Drug Company, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 51 other insurers list Clark Drug Company, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clark Drug Company, LLC was last updated on May 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.