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MICHAEL RAYMOND CLARK
NPI 1972006005
Pharmacist in Twain Harte, CA

Active since March 15, 2018
22629 TWAIN HARTE DR STE D, TWAIN HARTE, CA 95383(209) 586-3225 Get Directions Write a Review

NPPES record last updated: February 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael Raymond Clark NPPES

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

MICHAEL RAYMOND CLARK (NPI 1972006005) is an individual pharmacist in Twain Harte, California, licensed in California (37360) and active in the NPI registry since March 2018. He maintains a secondary practice location in Arnold.

NPPES Registry Identity

NPI1972006005
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMICHAEL RAYMOND CLARK
Location Address22629 TWAIN HARTE DR STE DTwain Harte, CA 95383-9405
Mailing Address22118 N Tuolumne RdTwain Harte, CA 95383-9605 · (209) 352-1411
Phone(209) 586-3225
Sole ProprietorYes
Enumeration DateMarch 15, 2018
Last NPPES UpdateFebruary 28, 2024
NPPES CertifiedFebruary 28, 2024
✔ NPI 1972006005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in CA · 37360
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.
22629 TWAIN HARTE DR STE D, Twain Harte, CA 95383
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Secondary Practice Location 1

Location 12037 Hwy 4 Ste FArnold, CA 95223-9420 · Phone (209) 795-1155

Other Providers at the Same Location NPPES

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

CROSBY PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
22629 TWAIN HARTE DR STE D
TWAIN HARTE, CA 95383
Tuolumne County (209) 586-3225

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 1972006005. It was assigned to this individual provider in the NPPES registry on March 15, 2018.

Where is Michael Clark located?

Michael Clark practices at 22629 Twain Harte Dr Ste D, Twain Harte, CA 95383. The listed phone number is (209) 586-3225.

What is Michael 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 Michael Clark was last updated on February 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.