MICHAEL ERICSON CLARK PHARMD
NPI 1376801290
Pharmacist in Aiken, SC

Q: What is Michael Clark's NPI number?

The NPI number for Michael Clark is 1376801290. It was assigned to this individual provider in the NPPES registry on April 28, 2012.

Q: What is Michael Clark's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michael Clark was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 28, 2012

2062 WHISKEY RD, AIKEN, SC 29803(803) 648-2339(803) 502-0971 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 17, 2017 (3 updates tracked since 2017).

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About Michael Ericson Clark Pharmd NPPES

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

MICHAEL ERICSON CLARK PHARMD (NPI 1376801290) is an individual pharmacist in Aiken, South Carolina, licensed in South Carolina (13704) and active in the NPI registry since April 2012. He maintains a secondary practice location in Aiken.

NPPES Registry Identity

NPI1376801290

Entity TypeIndividualMale

Primary Taxonomy183500000X

Provider Legal NameMICHAEL ERICSON CLARKCredential: PHARMD

Location Address2062 WHISKEY RDAiken, SC 29803-6183

Mailing Address2062 Whiskey RdAiken, SC 29803-6183 · (803) 648-2339 · Fax (803) 502-0971

Phone(803) 648-2339

Fax(803) 502-0971

Sole ProprietorYes

Enumeration DateApril 28, 2012

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1376801290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers

Taxonomy Code183500000X

License✔ Licensed in SC · 13704

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.

2062 WHISKEY RD, Aiken, SC 29803

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Secondary Practice Location 1

Location 1190 Crepe Myrtle CtAiken, SC 29803-7543 · Phone (803) 648-7800 · Fax (803) 648-7277

Other Identifiers 1

Other13704SC · Pharmacist License

Other Providers at the Same Location NPPES 15

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

AMAYA EDGE FNP

Nurse Practitioner (Family)