JOE BOAZ CLARK IV
NPI 1669139309
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Sun Prairie, WI

Active since November 17, 2021
640 E MAIN ST, SUN PRAIRIE, WI 53590(608) 837-3821 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Joe Boaz Clark Iv NPPES

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

JOE BOAZ CLARK IV (NPI 1669139309) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Sun Prairie, Wisconsin, licensed in Wisconsin (17466-40) and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1669139309
Entity TypeIndividualMale
Primary Taxonomy1835P0018X
Provider Legal NameJOE BOAZ CLARK IV
Location Address640 E MAIN STSun Prairie, WI 53590-9696
Mailing Address640 E Main StSun Prairie, WI 53590-9696 · (608) 837-3821
Sole ProprietorNo
Enumeration DateNovember 17, 2021
Last NPPES UpdateJune 16, 2026
NPPES CertifiedJune 16, 2026
NPI 1669139309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License Licensed in WI · 17466-40
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
640 E MAIN ST, Sun Prairie, WI 53590

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.

Pharmacist
640 E MAIN ST
SUN PRAIRIE, WI 53590
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
640 E MAIN ST
SUN PRAIRIE, WI 53590
Pharmacist
640 E MAIN ST
SUN PRAIRIE, WI 53590
Pharmacy (Community/Retail Pharmacy)
640 E MAIN ST
SUN PRAIRIE, WI 53590

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 Joe Clark's NPI number?

The NPI number for Joe Clark is 1669139309. It was assigned to this individual provider in the NPPES registry on November 17, 2021.

Where is Joe Clark located?

Joe Clark practices at 640 E Main St, Sun Prairie, WI 53590. The listed phone number is (608) 837-3821.

What is Joe Clark's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Joe Clark was last updated on June 16, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.