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Deactivated NPI 1588085302 Deactivated / Inactive NPI Male Practitioner

Dr. Gary Marvin Clark , PharmD

Pharmacist • Urbandale, IA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Gary Clark has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 20, 2013
NPI Deactivation Date January 15, 2026
Total Practice Duration ~13 Years of Practice (2013 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Gary Clark, PharmD was a registered Pharmacist practicing in Urbandale, IA. Throughout an active medical career spanning 13 years, Dr. Clark provided care at the practice location at 15227 AURORA CIR until profile deactivation on 2026-01-15.

Practice Location & Contact Primary Location

Practice Address

15227 Aurora Cir

Urbandale, IA 503232472

Telephone 5155770142

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Urbandale, IA

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

Practicing in Urbandale, IA (3246 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 IA 17580

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

7 Historical Events
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NPI Profile Deactivated January 15, 2026

Record deactivated on January 15, 2026

NPI Profile Active December 20, 2013

NPI status registered as active in NPPES database

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Updated Practice Location December 20, 2013

Registered at 15227 AURORA CIR, URBANDALE, IA 503232472 (Tel: 5155770142)

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Updated Business Mailing Address December 20, 2013

Registered at 15227 AURORA CIR, URBANDALE, IA 503232472 (Tel: 5155770142)

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Provider Name / Credentials Updated December 20, 2013

Recorded as GARY CLARK, PHARMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2013

Pharmacist (License #17580 in IA)

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Initial NPI Registration & Enumeration December 20, 2013

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: 1588085302
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 20, 2013
Last Update: December 20, 2013
Deactivation Date: January 15, 2026

Mailing Address

15227 Aurora Cir

Urbandale, IA 503232472

Phone: 5155770142

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.