Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639454689 Individual Practitioner Male Practitioner

Daniel J Clark

Pharmacist • Green Bay, WI

Professional Overview & Biography Verified Profile Summary

Daniel Clark is a registered healthcare professional specializing in Pharmacist in Green Bay, WI. Practice services are available at 1995 MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1995 Main St

Green Bay, WI 543023920

Telephone 9204656210
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1366459307

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 10716-40

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Ellsworth Gast

Pharmacist

NPI 1003186073
NPI 1164056602

Doctor of Pharmacy (Pharm.D.)

Pa Lee

Pharmacist

NPI 1386378651
NPI 1679456677
NPI 1750667457

Registered Pharmacist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 20, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location October 20, 2011

Registered at 1995 MAIN ST, GREEN BAY, WI 543023920 (Tel: 9204656210)

📍
Updated Business Mailing Address October 20, 2011

Registered at 1995 MAIN ST, GREEN BAY, WI 543023920 (Tel: 9204656210)

👤
Provider Name / Credentials Updated October 20, 2011

Recorded as DANIEL CLARK

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

Pharmacist (License #10716-40 in WI)

🟢
Initial NPI Registration & Enumeration October 20, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1639454689
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 20, 2011
Last Update: October 20, 2011
Sole Proprietor: Yes

Mailing Address

1995 Main St

Green Bay, WI 543023920

Phone: 9204656210

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.