AMANDA CLAIRE CLARK PHARMD
NPI 1013550086
Pharmacist in Vidalia, GA

Active since October 23, 2019
305 MAPLE DR, VIDALIA, GA 30474(912) 538-0053 Get Directions Write a Review

NPPES record last updated: October 23, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amanda Claire Clark Pharmd NPPES

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

AMANDA CLAIRE CLARK PHARMD (NPI 1013550086) is an individual pharmacist in Vidalia, Georgia, licensed in Georgia (023304) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1013550086
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameAMANDA CLAIRE CLARKCredential: PHARMD
Location Address305 MAPLE DRVidalia, GA 30474-8908
Mailing Address305 Maple DrVidalia, GA 30474-8908 · (912) 538-0053 · Fax (912) 538-0498
Sole ProprietorNo
Enumeration DateOctober 23, 2019
NPI 1013550086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in GA · 023304
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
305 MAPLE DR, Vidalia, GA 30474

Other Providers at the Same Location NPPES 6

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

Pharmacy (Long Term Care Pharmacy)
305 MAPLE DR
VIDALIA, GA 30474
Durable Medical Equipment & Medical Supplies
305 MAPLE DR
VIDALIA, GA 30474
Pharmacist
305 MAPLE DR
VIDALIA, GA 30474
Pharmacist
305 MAPLE DR
VIDALIA, GA 30474
Pharmacy (Community/Retail Pharmacy)
305 MAPLE DR
VIDALIA, GA 30474
Pharmacy Technician
305 MAPLE DR
VIDALIA, GA 30474

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 Amanda Clark's NPI number?

The NPI number for Amanda Clark is 1013550086. It was assigned to this individual provider in the NPPES registry on October 23, 2019.

Where is Amanda Clark located?

Amanda Clark practices at 305 Maple Dr, Vidalia, GA 30474. The listed phone number is (912) 538-0053.

What is Amanda Clark's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Amanda Clark was last updated on October 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.