Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1427327428 Individual Practitioner Male Practitioner

Dr. John Jacob Clark , PharmD

Pharmacist • Mendota Heights, MN

Professional Overview & Biography Verified Profile Summary

Dr. John Clark, PharmD is a registered healthcare professional specializing in Pharmacist in Mendota Heights, MN. Practice services are available at 1312 NORTHLAND DRIVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1312 Northland Drive

Mendota Heights, MN 55120

Telephone 8883411542
Associated Practice Facility / Clinic
🏢 Astrup Drug Inc Facility NPI 1255841193

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Mendota Heights, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
15 Specialists

Practicing in Mendota Heights, MN (4994 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 MN 120455

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.

Pharmacist

NUCC Taxonomy Code: 183500000X

State License WI 16503-40

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

11 Historical Events
NPI Profile Active October 30, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 30, 2017

Registered at 1312 NORTHLAND DRIVE, MENDOTA HEIGHTS, MN 55120 (Tel: 8883411542)

📍
Updated Business Mailing Address October 30, 2017

Registered at 1312 NORTHLAND DRIVE, MENDOTA HEIGHTS, MN 55120 (Tel: 8883411542)

👤
Provider Name / Credentials Updated October 30, 2017

Recorded as JOHN CLARK, PHARM.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2017

Pharmacist (License #120455 in MN)

NPI Profile Active December 20, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location December 20, 2011

Registered at 2015 TOWER AVE, SUPERIOR, WI 548802538 (Tel: 7153929550)

📍
Updated Business Mailing Address December 20, 2011

Registered at 2015 TOWER AVE, SUPERIOR, WI 548802538 (Tel: 7153929550)

👤
Provider Name / Credentials Updated December 20, 2011

Recorded as JOHN CLARK, PHARM.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2011

Pharmacist (License #120455 in MN)

🟢
Initial NPI Registration & Enumeration December 20, 2011

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: 1427327428
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 20, 2011
Last Update: October 30, 2017
Sole Proprietor: Yes

Mailing Address

1312 Northland Drive

Mendota Heights, MN 55120

Phone: 8883411542

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.