DIANE CLARK R.PH.
NPI 1558634980
Pharmacist in Medford, OR

Active since February 15, 2012
3639 CRATER LAKE HWY, MEDFORD, OR 97504(541) 734-2482 Get Directions Write a Review

NPPES record last updated: January 8, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Diane Clark R.ph. NPPES

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

DIANE CLARK R.PH. (NPI 1558634980) is an individual pharmacist in Medford, Oregon, licensed in Oregon (7948) and active in the NPI registry since February 2012.

NPPES Registry Identity

NPI1558634980
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameDIANE CLARKCredential: R.PH.
Location Address3639 CRATER LAKE HWYMedford, OR 97504-9259
Mailing Address3639 Crater Lake HwyMedford, OR 97504-9259 · (541) 734-2482
Sole ProprietorNo
Enumeration DateFebruary 15, 2012
Last NPPES UpdateJanuary 8, 2016
NPI 1558634980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in OR · 7948
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.
Also ListedPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy 1835P0018X · License 7948 (OR)
3639 CRATER LAKE HWY, Medford, OR 97504

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
3639 CRATER LAKE HWY, PHARMACY
MEDFORD, OR 97504
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3639 CRATER LAKE HWY
MEDFORD, OR 97504
Pharmacist (Ambulatory Care)
3639 CRATER LAKE HWY
MEDFORD, OR 97504
Optometrist
3639 CRATER LAKE HWY
MEDFORD, OR 97504
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3639 CRATER LAKE HWY
MEDFORD, OR 97504

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 Diane Clark's NPI number?

The NPI number for Diane Clark is 1558634980. It was assigned to this individual provider in the NPPES registry on February 15, 2012.

Where is Diane Clark located?

Diane Clark practices at 3639 Crater Lake Hwy, Medford, OR 97504. The listed phone number is (541) 734-2482.

What is Diane 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 Diane Clark was last updated on January 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.