Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1972006005 Individual Practitioner Male Practitioner

Michael Raymond Clark

Pharmacist • Twain Harte, CA

Professional Overview & Biography Verified Profile Summary

Michael Clark is a registered healthcare professional specializing in Pharmacist in Twain Harte, CA. Practice services are available at 22629 TWAIN HARTE DR STE D under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

22629 Twain Harte Dr Ste D

Twain Harte, CA 953839405

Telephone 2095863225
Associated Practice Facility / Clinic
🏢 Crosby Pharmacy Inc Facility NPI 1174563829

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Twain Harte, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.8 Yrs
Regional Practice Density
1 Specialists

Practicing in Twain Harte, CA (33119 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: 2024-02-28
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License CA 37360

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.

Secondary Practice Locations

2037 Hwy 4 Ste F

Arnold, CA 952239420

Phone: 2097951155

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location February 28, 2024

Registered at 22629 TWAIN HARTE DR STE D, TWAIN HARTE, CA 953839405 (Tel: 2095863225)

📍
Updated Business Mailing Address February 28, 2024

Registered at 22118 N TUOLUMNE RD, TWAIN HARTE, CA 953839605 (Tel: 2093521411)

NPI Profile Active March 15, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 15, 2018

Registered at 1101 SANGUINETTI RD, SONORA, CA 953706214 (Tel: 2095338273)

📍
Updated Business Mailing Address March 15, 2018

Registered at 1101 SANGUINETTI RD, SONORA, CA 953706214 (Tel: 2095338273)

👤
Provider Name / Credentials Updated March 15, 2018

Recorded as MICHAEL CLARK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2018

Pharmacist (License #37360 in CA)

🟢
Initial NPI Registration & Enumeration March 15, 2018

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: 1972006005
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 15, 2018
Last Update: February 28, 2024
Sole Proprietor: Yes

Mailing Address

22118 N Tuolumne Rd

Twain Harte, CA 953839605

Phone: 2093521411

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.