DEREK CLARK PHARMD
NPI 1124452073
Pharmacist in Prescott Valley, AZ

Active since August 28, 2013
3100 N GLASSFORD HILL RD, PRESCOTT VALLEY, AZ 86314(928) 445-0607 Get Directions Write a Review

NPPES record last updated: August 28, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Derek Clark Pharmd NPPES

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

DEREK CLARK PHARMD (NPI 1124452073) is an individual pharmacist in Prescott Valley, Arizona, licensed in Arizona (S020113) and active in the NPI registry since August 2013.

NPPES Registry Identity

NPI1124452073
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDEREK CLARKCredential: PHARMD
Location Address3100 N GLASSFORD HILL RDPrescott Valley, AZ 86314-2285
Mailing Address3100 N Glassford Hill RdPrescott Valley, AZ 86314-2285 · (928) 445-0607
Sole ProprietorNo
Enumeration DateAugust 28, 2013
NPI 1124452073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in AZ · S020113
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.
3100 N GLASSFORD HILL RD, Prescott Valley, AZ 86314

Other Providers at the Same Location NPPES 13

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

Pharmacy (Community/Retail Pharmacy)
3100 N GLASSFORD HILL RD
PRESCOTT VALLEY, AZ 86314
Nurse Practitioner (Family)
3100 N GLASSFORD HILL RD
PRESCOTT VALLEY, AZ 86314
Pharmacist
3100 N GLASSFORD HILL RD
PRESCOTT VALLEY, AZ 86314
Pharmacist
3100 N GLASSFORD HILL RD
PRESCOTT VALLEY, AZ 86314
Nurse Practitioner (Family)
3100 N GLASSFORD HILL RD
PRESCOTT VALLEY, AZ 86314
Pharmacist
3100 N GLASSFORD HILL RD
PRESCOTT VALLEY, AZ 86314
Physician Assistant (Medical)
3100 N GLASSFORD HILL RD
PRESCOTT VALLEY, AZ 86314
Pharmacist
3100 N GLASSFORD HILL RD
PRESCOTT VALLEY, AZ 86314

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 Derek Clark's NPI number?

The NPI number for Derek Clark is 1124452073. It was assigned to this individual provider in the NPPES registry on August 28, 2013.

Where is Derek Clark located?

Derek Clark practices at 3100 N Glassford Hill Rd, Prescott Valley, AZ 86314. The listed phone number is (928) 445-0607.

What is Derek 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 Derek Clark was last updated on August 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.