Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1942520291 Individual Practitioner Female Practitioner

Tia C Clark , RPH

Pharmacist • Mesa, AZ

Professional Overview & Biography Verified Profile Summary

Tia Clark, RPH is a registered healthcare professional specializing in Pharmacist in Mesa, AZ. Practice services are available at 420 S SOSSAMAN RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

420 S Sossaman Rd

Mesa, AZ 852082001

Telephone 4809853658
Fax 4809854718
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1275548521

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Mesa, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 5.0 Yrs
Regional Practice Density
397 Specialists

Practicing in Mesa, AZ (6928 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-12-26
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License AZ 10558

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.

Pharmacist

NUCC Taxonomy Code: 183500000X

State License AZ S010558

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
NPI 1235549502

Doctor of Pharmacy (Pharm.D.)

Dr. Kalli Wilembrecht , PharmD

Student in an Organized Health Care Education/Training Program

NPI 1447627633

Doctor of Pharmacy (Pharm.D.)

NPI 1477241065

Doctor of Pharmacy (Pharm.D.)

Morgan Hoefle

Pharmacist

NPI 1730906082
NPI 1972058212

Doctor of Pharmacy (Pharm.D.)

NPI 1972156610

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location December 26, 2022

Registered at 420 S SOSSAMAN RD, MESA, AZ 852082001 (Tel: 4809853658)

📍
Updated Business Mailing Address December 26, 2022

Registered at 420 S SOSSAMAN RD, MESA, AZ 852082001 (Tel: 4803254777)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 26, 2022

Pharmacist (License #S010558 in AZ)

NPI Profile Active June 09, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location June 09, 2010

Registered at 1935 N POWER RD, MESA, AZ 852053728 (Tel: 4809853658)

📍
Updated Business Mailing Address June 09, 2010

Registered at 1935 N POWER RD, MESA, AZ 852053728 (Tel: 4809853658)

👤
Provider Name / Credentials Updated June 09, 2010

Recorded as TIA CLARK, RPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2010

Pharmacist (License #10558 in AZ)

🟢
Initial NPI Registration & Enumeration June 09, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1942520291
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 09, 2010
Last Update: December 26, 2022
Sole Proprietor: No

Mailing Address

420 S Sossaman Rd

Mesa, AZ 852082001

Phone: 4803254777

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.