1. Home
  2. Directory
  3. Michigan
  4. East Jordan
  5. Pharmacist
  6. NPI Profile

TIMOTHY ALLEN CLARK
NPI 1437458692
Pharmacist in East Jordan, MI

Active since March 26, 2011
250 S LAKE ST, EAST JORDAN, MI 49727(231) 536-0901(231) 536-3284 Get Directions Write a Review

NPPES record last updated: March 26, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Timothy Allen Clark NPPES

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

TIMOTHY ALLEN CLARK (NPI 1437458692) is an individual pharmacist in East Jordan, Michigan, licensed in Michigan (5302025259) and active in the NPI registry since March 2011.

NPPES Registry Identity

NPI1437458692
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameTIMOTHY ALLEN CLARK
Location Address250 S LAKE STEast Jordan, MI 49727-9376
Mailing Address1683 E Gruler RdPetoskey, MI 49770-8821 · (231) 347-6269
Phone(231) 536-0901
Fax(231) 536-3284
Sole ProprietorNo
Enumeration DateMarch 26, 2011
✔ NPI 1437458692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in MI · 5302025259
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.
250 S LAKE ST, East Jordan, MI 49727
Open in Google Maps ↗

Other Providers at the Same Location NPPES 4

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

DR. KEITH DAVID NOWAK PHARM. D.
Pharmacist
250 S LAKE ST, SUITE A
EAST JORDAN, MI 49727
Charlevoix County (231) 536-0901
RITE AID
Pharmacist
250 S LAKE ST
EAST JORDAN, MI 49727
Charlevoix County (231) 536-0901
MR. LARRY C DITTMAR
Pharmacist
250 S LAKE ST
EAST JORDAN, MI 49727
Charlevoix County (231) 536-0901
JAY MCCULLOCH RPH
Pharmacist
250 S LAKE ST
EAST JORDAN, MI 49727
Charlevoix County (231) 536-0901

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 Timothy Clark's NPI number?

The NPI number for Timothy Clark is 1437458692. It was assigned to this individual provider in the NPPES registry on March 26, 2011.

Where is Timothy Clark located?

Timothy Clark practices at 250 S Lake St, East Jordan, MI 49727. The listed phone number is (231) 536-0901.

What is Timothy 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 Timothy Clark was last updated on March 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.