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MICHAEL R CLARK JR. PHARMD
NPI 1861711046
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Fort Campbell, KY

Active since May 26, 2010
650 JOEL DR, FORT CAMPBELL, KY 42223(270) 798-4677 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 18, 2025, Jun 17, 2016 (2 updates tracked since 2016).

About Michael R Clark Jr. Pharmd NPPES

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

MICHAEL R CLARK JR. PHARMD (NPI 1861711046) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Fort Campbell, Kentucky, licensed in Georgia (RPH024877) and active in the NPI registry since May 2010.

NPPES Registry Identity

NPI1861711046
Entity TypeIndividualMale
Primary Taxonomy1835P0018X
Provider Legal NameMICHAEL R CLARK JR.Credential: PHARMD
Location Address650 JOEL DRFort Campbell, KY 42223-5318
Mailing Address650 Joel DrFort Campbell, KY 42223-5318 · (270) 798-4677
Phone(270) 798-4677
Sole ProprietorYes
Enumeration DateMay 26, 2010
Last NPPES UpdateJune 18, 20252 updates tracked since enumeration
NPPES CertifiedJune 18, 2025
✔ NPI 1861711046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in GA · RPH024877
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.
Also ListedPharmacistTaxonomy 183500000X · License RPH024877 (GA)
650 JOEL DR, Fort Campbell, KY 42223
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Other Providers at the Same Location NPPES 20

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

LISA RENEE CORDELL RN
Registered Nurse
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8500
SAMANTHA LYNNE WINDER ATC
Specialist/Technologist (Athletic Trainer)
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (435) 650-4301
BLANCHFILED ARMY COMMUNITY HOSPITAL
Military Hospital
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8400
KATHLEEN MEERA GROFF FNP-BC
Nurse Practitioner
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 956-0451
LINDSAY DAVIS
Counselor (Professional)
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-0667
JEFFREY A SANFORD MD
Pathology (Anatomic Pathology & Clinical Pathology)
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8400
ERIK FLOLO LMSW
Social Worker (Clinical)
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8400
MARK WILLIAM MCNEELY MD
Pathology (Anatomic Pathology & Clinical Pathology)
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8400

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 Michael Clark's NPI number?

The NPI number for Michael Clark is 1861711046. It was assigned to this individual provider in the NPPES registry on May 26, 2010.

Where is Michael Clark located?

Michael Clark practices at 650 Joel Dr, Fort Campbell, KY 42223. The listed phone number is (270) 798-4677.

What is Michael 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 Michael Clark was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.