Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1780968776 Deactivated / Inactive NPI Male Practitioner

George Clark , RPH

Pharmacist • Macomb, MI

⚠️

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

Registration / Start Date October 07, 2011
NPI Deactivation Date May 17, 2023
Total Practice Duration ~12 Years of Practice (2011 – 2023)

Professional Overview & Biography Verified Profile Summary

George Clark, RPH was a registered Pharmacist practicing in Macomb, MI. Throughout an active medical career spanning 12 years, George Clark provided care at the practice location at 21828 23 MILE RD until profile deactivation on 2023-05-17.

Practice Location & Contact Primary Location

Practice Address

21828 23 Mile Rd

Macomb, MI 480424422

Telephone 5864211897
Fax 5864211902
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1659386795

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Macomb, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
44 Specialists

Practicing in Macomb, MI (8602 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 MI 5302019570

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

1 Associated Practitioners
NPI 1053696690

Registered Pharmacist

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated May 17, 2023

Record deactivated on May 17, 2023

NPI Profile Active October 07, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location October 07, 2011

Registered at 21828 23 MILE RD, MACOMB, MI 480424422 (Tel: 5864211897)

📍
Updated Business Mailing Address October 07, 2011

Registered at 21828 23 MILE RD, MACOMB, MI 480424422 (Tel: 5864211897)

👤
Provider Name / Credentials Updated October 07, 2011

Recorded as GEORGE CLARK, RPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2011

Pharmacist (License #5302019570 in MI)

🟢
Initial NPI Registration & Enumeration October 07, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for George Clark. Be the first to share your experience!

Sign in to leave a review for George Clark

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1780968776
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 07, 2011
Last Update: October 07, 2011
Deactivation Date: May 17, 2023

Mailing Address

21828 23 Mile Rd

Macomb, MI 480424422

Phone: 5864211897

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.