John Jacob Clark, PHARM.D.
NPI 1427327428ActiveIndividual· Pharmacist· Mendota Heights, MN
Pharmacist (PHARM.D.) in Mendota Heights, Minnesota, licensed in MN and WI, with an NPI issued in December 2011.
Overview
| NPI | 1427327428 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHARM.D. |
| Sole proprietor | Yes |
| NPI issued | Dec 20, 2011 |
| Last updated in NPPES | Oct 30, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | 120455 | MN |
| Pharmacist | 183500000X | 16503-40 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Pharmacist providers in Mendota Heights
- 1538428164
- 1588045371
- 1245067354
- 1467370072
- 1669305751
- 1740560358
- 1508856527
- 1295011989
- 1821884511
- 1437424520
- 1891928677
- 1184236879