Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1386920239 Individual Practitioner Male Practitioner

Michael John Clark , RPH

Pharmacist • Green Bay, WI

Professional Overview & Biography Verified Profile Summary

Michael Clark, RPH is a registered healthcare professional specializing in Pharmacist in Green Bay, WI. Practice services are available at 1979 LIME KILN RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1979 Lime Kiln Rd

Green Bay, WI 543116219

Telephone 9202880638
Fax 9202880645
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1164603403

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Green Bay, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
155 Specialists

Practicing in Green Bay, WI (5503 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 WI 12691-040

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

3 Associated Practitioners
NPI 1205461399

Doctor of Pharmacy (Pharm.D.), Master of Business Administration

NPI 1205577467

Doctor of Pharmacy (Pharm.D.)

John Wolff

Pharmacist

NPI 1952687899

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 24, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location October 24, 2011

Registered at 1979 LIME KILN RD, GREEN BAY, WI 543116219 (Tel: 9202880638)

📍
Updated Business Mailing Address October 24, 2011

Registered at 1979 LIME KILN RD, GREEN BAY, WI 543116219 (Tel: 9202880638)

👤
Provider Name / Credentials Updated October 24, 2011

Recorded as MICHAEL CLARK, RPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2011

Pharmacist (License #12691-040 in WI)

🟢
Initial NPI Registration & Enumeration October 24, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1386920239
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 24, 2011
Last Update: October 24, 2011
Sole Proprietor: Yes

Mailing Address

1979 Lime Kiln Rd

Green Bay, WI 543116219

Phone: 9202880638

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.