NPI age
16 years
Enumerated 2010-02-25
● Active Type 2 · Organization
Subpart
Clark Pharmacy Llc
Clark Pharmacy Llc is 1 of 5625 pharmacy organizations in Texas.
Primary specialty
Pharmacy
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Gingrich
Managing Officer
Last NPPES update
2014-07-08
Source: monthly bulk 2026-05
How this organization compares
Across 5625 active pharmacy providers in Texas.
NPI age
16 years
≈ at median (15 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 62% of peers with subspecialties
NPI lifetime · 2010 → 2026
2010-02Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
701 N Main St, Suite A
Donna, TX 785372765
Mailing address
Po Box 1047
Donna, TX 78537
Authorized official
Bruce Gingrich
Managing Officer
📞 2812323940
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Daniel Casanova, P.A. Physician Assistant NPI 1386777225
- John Gonzales, PHYSICIAN ASSISTANT Physician Assistant NPI 1215119722
Specialties
-
Pharmacy PrimaryA pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the...
-
PharmacyA pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 2144609 | PK |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Main Street Pharmacy
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
Subpart of Lifechek Auchan Partners Ltd.
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Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.