Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255935417 Individual Practitioner Male Practitioner

Keaton Tyler Clark

Pharmacist • Toccoa, GA

Professional Overview & Biography Verified Profile Summary

Keaton Clark is a registered healthcare professional specializing in Pharmacist in Toccoa, GA. Practice services are available at 959 BIG A RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

959 Big A Rd

Toccoa, GA 305776026

Telephone 7068866876
Associated Practice Facility / Clinic
🏢 Georgia Cvs Pharmacy Llc Facility NPI 1114020864

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Toccoa, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.0 Yrs
Regional Practice Density
33 Specialists

Practicing in Toccoa, GA (8508 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: 2023-08-03
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License GA RPH034437

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

3 Associated Practitioners
NPI 1093306680

Doctor of Pharmacy (Pharm.D.)

NPI 1366032807
NPI 1548851033

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location August 03, 2023

Registered at 959 BIG A RD, TOCCOA, GA 305776026 (Tel: 7068866876)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2023

Pharmacist (License #RPH034437 in GA)

NPI Profile Active November 27, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location November 27, 2020

Registered at 8895 HIGHWAY 29 S, HULL, GA 306463909 (Tel: 7065469245)

📍
Updated Business Mailing Address November 27, 2020

Registered at 12 OAK CLIFF DR, TOCCOA, GA 305778310 (Tel: 7065994103)

👤
Provider Name / Credentials Updated November 27, 2020

Recorded as KEATON CLARK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 27, 2020

Student in an Organized Health Care Education/Training Program (License #PHI-020854 in GA)

🟢
Initial NPI Registration & Enumeration November 27, 2020

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: 1255935417
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 27, 2020
Last Update: August 03, 2023
Sole Proprietor: No

Mailing Address

12 Oak Cliff Dr

Toccoa, GA 305778310

Phone: 7065994103

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.