1. Home
  2. Directory
  3. Wisconsin
  4. Green Bay
  5. Pharmacist
  6. NPI Profile

DANIEL J CLARK
NPI 1639454689
Pharmacist in Green Bay, WI

Active since October 20, 2011
1995 MAIN ST, GREEN BAY, WI 54302(920) 465-6210 Get Directions Write a Review

NPPES record last updated: October 20, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Daniel J Clark NPPES

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

DANIEL J CLARK (NPI 1639454689) is an individual pharmacist in Green Bay, Wisconsin, licensed in Wisconsin (10716-40) and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1639454689
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDANIEL J CLARK
Location Address1995 MAIN STGreen Bay, WI 54302-3920
Mailing Address1995 Main StGreen Bay, WI 54302-3920 · (920) 465-6210
Phone(920) 465-6210
Sole ProprietorYes
Enumeration DateOctober 20, 2011
✔ NPI 1639454689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in WI · 10716-40
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.
1995 MAIN ST, Green Bay, WI 54302
Open in Google Maps ↗

Other Providers at the Same Location NPPES 6

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

ELLSWORTH P GAST
Pharmacist
1995 MAIN ST
GREEN BAY, WI 54302
Brown County (920) 465-6210
DR. NICHOLAS MICHAEL BOEGE PHARMD
Pharmacist
1995 MAIN ST
GREEN BAY, WI 54302
Brown County (920) 465-6210
WALGREEN CO
Pharmacy
1995 MAIN ST
GREEN BAY, WI 54302
Brown County (920) 465-6210
PA SHENG LEE
Pharmacist
1995 MAIN ST
GREEN BAY, WI 54302
Brown County (920) 465-6210
MICHELLE MONTESINOS
Pharmacist
1995 MAIN ST
GREEN BAY, WI 54302
Brown County (920) 465-6210
JOAN AUBRY RPH
Pharmacist
1995 MAIN ST
GREEN BAY, WI 54302
Brown County (920) 465-6210

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 Daniel Clark's NPI number?

The NPI number for Daniel Clark is 1639454689. It was assigned to this individual provider in the NPPES registry on October 20, 2011.

Where is Daniel Clark located?

Daniel Clark practices at 1995 Main St, Green Bay, WI 54302. The listed phone number is (920) 465-6210.

What is Daniel 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 Daniel Clark was last updated on October 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.