Keaton Tyler Clark
Keaton Tyler Clark is a Pharmacist provider (Pharmacist) practicing in Toccoa, GA, registered in the NPPES registry with NPI 1255935417 since 2020. Practices at Georgia Cvs Pharmacy LLC (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1255935417 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Keaton Tyler Clark |
| Sex | Male |
| Practice address | 959 BIG A RD, Toccoa, GA, 30577 |
| Phone | 7068866876 |
| Enumeration date | 2020-11-27 |
| Last updated in NPPES | 2023-08-03 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 183500000X | Pharmacist | Primary | RPH034437 | GA |
Copy-ready billing details
Provider: Keaton Clark NPI: 1255935417 Taxonomy: 183500000X (Pharmacist) Address: 959 BIG A RD, Toccoa, GA, 30577
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1114020864 | Georgia Cvs Pharmacy LLC | Organization | Pharmacy | Toccoa, GA |
| 1366032807 | Allison Bentley | Individual | Pharmacist | Toccoa, GA |
| 1679163992 | Herschel Mize | Individual | Pharmacist | Toccoa, GA |
| 1093306680 | Austin Thaxton | Individual | Pharmacist | Toccoa, GA |
| 1548851033 | Cecil Reno | Individual | Pharmacist | Toccoa, GA |
Verify this record
Cross-check NPI 1255935417 against the authoritative CMS record: view Keaton Tyler Clark on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where does Keaton Clark practice?
What is the NPI number for Keaton Clark?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-08-03.