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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Clark Pharmacy LLC

Community/Retail Pharmacy in Willis, TX · enumerated 2006 · authorized official Bruce Gingrich, Owner/President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1427163625

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Clark Pharmacy LLC
Other name <Unavail>
Parent organization Lifechek, Inc
Practice address 502 W Montgomery St, Willis, TX, 77378
Phone (936) 856-4594
Fax (936) 856-3512
Enumeration date Aug 20, 2006
Last updated in NPPES Mar 30, 2011

Taxonomy & classification

333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 24189 (TX) Primary

Authorized official

Name Bruce Gingrich
Title Owner/President
Phone (281) 232-3940

Other identifiers

Identifier Type State Issuer
4510687 Other - NCPDP PROVIDER IDENTIFICATION NUMBER
140591 Medicaid TX -

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.

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Frequently asked questions

What type of organization is Clark Pharmacy LLC?
Clark Pharmacy LLC is registered in NPPES as a Community/Retail Pharmacy (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-03-30.