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Active NPI 1558352377 Individual Practitioner Male Practitioner

Lewis Grant Clark , PHARMACIST

Pharmacist • Waycross, GA

Professional Overview & Biography Verified Profile Summary

Lewis Clark, PHARMACIST is a registered healthcare professional specializing in Pharmacist in Waycross, GA. Practice services are available at 815 SAINT MARYS DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

815 Saint Marys Dr

Waycross, GA 315013234

Telephone 9123380688

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Waycross, GA

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

Practicing in Waycross, 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

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License GA GA 11041

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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 815 SAINT MARYS DR, WAYCROSS, GA 315013234 (Tel: 9123380688)

📍
Updated Business Mailing Address July 08, 2007

Registered at 815 SAINT MARYS DR, WAYCROSS, GA 315013234 (Tel: 9123380688)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as LEWIS CLARK, PHARMACIST

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pharmacist (License #GA 11041 in GA)

🟢
Initial NPI Registration & Enumeration November 01, 2005

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: 1558352377
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 01, 2005
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

815 Saint Marys Dr

Waycross, GA 315013234

Phone: 9123380688

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.