Clarksdale Pharmacy, LLC
NPI 1770146128ActiveOrganization· Pharmacy, Specialty Pharmacy· Clarksdale, MS
Pharmacy, Specialty Pharmacy in Clarksdale, Mississippi, registered in NPPES in April 2019. The authorized official on file is William Eric Poff, R.PH., President/Owner. Medicare paid $14,823 for services to 68 patients in 2024.
Overview
| NPI | 1770146128 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 20, 2019 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Specialty Pharmacy Primary | 3336S0011X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Independent Clinical Laboratory (MS); Part B Supplier - Pharmacy (MS) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 68 |
|---|---|
| Services billed | 192 across 9 procedure codes |
| Paid by Medicare | $14,823 |