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Deactivated NPI 1407199318 Deactivated / Inactive NPI Male Practitioner

Dr. Charles Roger Clark , PharmD

Pharmacist • Newton, KS

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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. Charles Clark has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 28, 2013
NPI Deactivation Date October 25, 2018
Total Practice Duration ~5 Years of Practice (2013 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Charles Clark, PharmD was a registered Pharmacist practicing in Newton, KS. Throughout an active medical career spanning 5 years, Dr. Clark provided care at the practice location at 325 E 4TH STREET until profile deactivation on 2018-10-25.

Practice Location & Contact Primary Location

Practice Address

325 E 4th Street

Newton, KS 67114

Telephone 3162832855

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Newton, KS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 3.0 Yrs
Regional Practice Density
21 Specialists

Practicing in Newton, KS (2627 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 KS 12117

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 October 25, 2018

Record deactivated on October 25, 2018

NPI Profile Active March 28, 2013

NPI status registered as active in NPPES database

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Updated Practice Location March 28, 2013

Registered at 325 E 4TH STREET, NEWTON, KS 67114 (Tel: 3162832855)

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Updated Business Mailing Address March 28, 2013

Registered at 325 E 4TH ST, NEWTON, KS 671142244 (Tel: 3162832855)

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Provider Name / Credentials Updated March 28, 2013

Recorded as CHARLES CLARK, PHARMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2013

Pharmacist (License #12117 in KS)

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Initial NPI Registration & Enumeration March 28, 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: 1407199318
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 28, 2013
Last Update: March 28, 2013
Deactivation Date: October 25, 2018

Mailing Address

325 E 4th St

Newton, KS 671142244

Phone: 3162832855

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.