MR. KENNETH R CLARK
NPI 1821119959
Pharmacist in Pascagoula, MS

Active since April 03, 2007
4211 HOSPITAL ST STE 104, PASCAGOULA, MS 39581(228) 762-1940(228) 762-7786 Get Directions Write a Review

NPPES record last updated: November 15, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Kenneth R Clark NPPES

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

MR. KENNETH R CLARK (NPI 1821119959) is an individual pharmacist in Pascagoula, Mississippi, licensed in Mississippi (E-06773) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1821119959
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. KENNETH R CLARK
Location Address4211 HOSPITAL ST STE 104Pascagoula, MS 39581-5310
Mailing Address2415 Beach BlvdPascagoula, MS 39567-1422 · (228) 623-1392 · Fax (228) 762-7786
Fax(228) 762-7786
Sole ProprietorYes
Enumeration DateApril 3, 2007
Last NPPES UpdateNovember 15, 2017
NPI 1821119959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MS · E-06773
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.
4211 HOSPITAL ST STE 104, Pascagoula, MS 39581

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 Kenneth Clark's NPI number?

The NPI number for Kenneth Clark is 1821119959. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Where is Kenneth Clark located?

Kenneth Clark practices at 4211 Hospital St Ste 104, Pascagoula, MS 39581. The listed phone number is (228) 762-1940.

What is Kenneth 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 Kenneth Clark was last updated on November 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.