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Dr. Andrew Clark , PharmD

Pharmacist β€’ Jackson, MS

Active NPI 1760683635 Individual Practitioner Male Practitioner
Practice location in NPPES

6220 Old Canton Rd
Jackson, MS 392112924

Call 6015030558 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

6220 Old Canton Rd

Jackson, MS 392112924

Telephone 6015030558
Organization at the Same NPPES Address or Phone
Northtown Pharmacy Llc Facility NPI 1023614724

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Jackson and Mississippi

215 active clinicians are listed under Pharmacist with a practice address in Jackson, MS (2,238 in Mississippi).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jackson

0% of these 215 clinicians have the CMS telehealth indicator.

0% of these 215 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-03-31
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

License # reported to NPPES MS E-010234

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Mississippi State Medical Licensing Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Business Mailing Address April 27, 2021

Registered at 6220 OLD CANTON RD, JACKSON, MS 392112924 (Tel: 6015030558)

πŸ“
Updated Practice Location December 08, 2020

Registered at 6220 OLD CANTON RD, JACKSON, MS 392112924 (Tel: 6015030558)

πŸ“
Updated Business Mailing Address December 08, 2020

Registered at 1462 KRISTEN DR, JACKSON, MS 392112115 (Tel: 6015030558)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2020

Pharmacist (license number reported to NPPES: MS E-010234)

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 109 PINE KNOLL DR, 347, RIDGELAND, MS 391571350 (Tel: 6018621464)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 109 PINE KNOLL DR, 347, RIDGELAND, MS 391571350 (Tel: 6018621464)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as ANDREW CLARK, PHARM D

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration May 30, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1760683635
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 30, 2007
Last Update: April 27, 2021
Sole Proprietor: No

Other Pharmacists in Jackson

Healthcare providers in Jackson

Mailing Address

6220 Old Canton Rd

Jackson, MS 392112924

Phone: 6015030558

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.