KEATON TYLER CLARK
NPI 1255935417
Pharmacist in Toccoa, GA

Active since November 27, 2020
959 BIG A RD, TOCCOA, GA 30577(706) 886-6876 Get Directions Write a Review

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Keaton Tyler Clark NPPES

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

KEATON TYLER CLARK (NPI 1255935417) is an individual pharmacist in Toccoa, Georgia, licensed in Georgia (RPH034437) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1255935417
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameKEATON TYLER CLARK
Location Address959 BIG A RDToccoa, GA 30577-6026
Mailing Address12 Oak Cliff DrToccoa, GA 30577-8310 · (706) 599-4103
Sole ProprietorNo
Enumeration DateNovember 27, 2020
Last NPPES UpdateAugust 3, 2023
NPPES CertifiedAugust 3, 2023
NPI 1255935417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in GA · RPH034437
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.
959 BIG A RD, Toccoa, GA 30577

Other Providers at the Same Location NPPES 5

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

Pharmacist
959 BIG A RD
TOCCOA, GA 30577
Pharmacy
959 BIG A RD
TOCCOA, GA 30577
Pharmacist
959 BIG A RD
TOCCOA, GA 30577
Pharmacist
959 BIG A RD
TOCCOA, GA 30577
Pharmacist
959 BIG A RD
TOCCOA, GA 30577

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 Keaton Clark's NPI number?

The NPI number for Keaton Clark is 1255935417. It was assigned to this individual provider in the NPPES registry on November 27, 2020.

Where is Keaton Clark located?

Keaton Clark practices at 959 Big A Rd, Toccoa, GA 30577. The listed phone number is (706) 886-6876.

What is Keaton 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 Keaton Clark was last updated on August 3, 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.