1. Home
  2. Directory
  3. Kansas
  4. Cimarron
  5. Pharmacy
  6. NPI Profile

CLARK PHARMACY INC
NPI 1720145105
Pharmacy - Community/Retail Pharmacy in Cimarron, KS

Active since January 03, 2007CLIA 17D2176434 · Waiver
101 S MAIN ST, CIMARRON, KS 67835(620) 855-2242(620) 855-3616 Get Directions Write a Review

NPPES record last updated: December 4, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Clark Pharmacy Inc NPPES

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

CLARK PHARMACY INC (NPI 1720145105) is a healthcare organization registered as a community/retail pharmacy in Cimarron, Kansas and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through December 12, 2027 and lists James Coast, Owner, as its authorized official.

NPPES Registry Identity

NPI1720145105
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCLARK PHARMACY INC
Location Address101 S MAIN STCimarron, KS 67835-9998
Mailing AddressPo Box 207Cimarron, KS 67835 · (620) 855-2242 · Fax (620) 855-3616
Phone(620) 855-2242
Fax(620) 855-3616
Organization SubpartNo
Authorized OfficialJames CoastOwner · (620) 855-2242
Enumeration DateJanuary 3, 2007
Last NPPES UpdateDecember 4, 2013
✔ NPI 1720145105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in KS · 209276
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
101 S MAIN ST, Cimarron, KS 67835
Open in Google Maps ↗

Other Names 1

Doing Business AsClark Pharmacy Inc

Other Identifiers 1

Other2030734Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 17D2176434

Clark Pharmacy · Cimarron, KS
Active · expires Dec 12, 2027
CLIA Number17D2176434
Laboratory TypePharmacy
Certificate Effective DateDecember 13, 2025
Certificate Expiration DateDecember 12, 2027
Laboratory DirectorMatthew D. Monical
Laboratory Phone(620) 855-2242
Laboratory LocationClark Pharmacy104 S Main, Cimarron, KS 67835
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. MATTHEW DYLAN MONICAL PHARM.D.
Pharmacist
101 S MAIN ST
CIMARRON, KS 67835
Gray County (620) 855-2242

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 Clark Pharmacy Inc's NPI number?

The NPI number for Clark Pharmacy Inc is 1720145105. It was assigned to this organization in the NPPES registry on January 3, 2007.

Where is Clark Pharmacy Inc located?

Clark Pharmacy Inc is located at 101 S Main St, Cimarron, KS 67835. The listed phone number is (620) 855-2242.

What is Clark Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Clark Pharmacy Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D2176434) is associated with this NPI, valid through December 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Clark Pharmacy Inc accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Clark Pharmacy Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clark Pharmacy Inc was last updated on December 4, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.