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STACY R CLARK PHARMD
NPI 1063342541
Student in an Organized Health Care Education/Training Program in Salem, VA

Active since May 19, 2026
1970 ROANOKE BLVD, SALEM, VA 24153(540) 982-2463 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacy R Clark Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACY R CLARK PHARMD (NPI 1063342541) is an individual student in an organized health care education/training program in Salem, Virginia and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1063342541
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSTACY R CLARKCredential: PHARMD
Location Address1970 ROANOKE BLVDSalem, VA 24153-6404
Mailing Address5908 Arden DrClemmons, NC 27012-9407 · (336) 528-0258
Phone(540) 982-2463
Sole ProprietorNo
Enumeration DateMay 19, 2026
NPPES CertifiedMay 19, 2026
✔ NPI 1063342541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1970 ROANOKE BLVD, Salem, VA 24153
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MALINDA FAYE SHELOR-ROGERS MSW, ACSW, LCSW
Social Worker (Clinical)
1970 ROANOKE BLVD, SALEM VA MEDICAL CENTER
SALEM, VA 24153
Salem City (540) 982-2463
DR. PETER LEWIS WILLS PHARM.D.
Pharmacist
1970 ROANOKE BLVD, DEPARTMENT 119
SALEM, VA 24153
Salem City (540) 982-2463
DR. JAMES PAARLBERG PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1970 ROANOKE BLVD
SALEM, VA 24153
Salem City (540) 982-2463
JENNA ST PIERRE PHARMD
Pharmacist
1970 ROANOKE BLVD
SALEM, VA 24153
Salem City (540) 982-2463
LAUREN HAGEMANN PH.D
Psychologist (Clinical)
1970 ROANOKE BLVD
SALEM, VA 24153
Salem City (540) 982-2463
TANYA WILLARD NURSE PRACTITIONER
Nurse Practitioner (Family)
1970 ROANOKE BLVD
SALEM, VA 24153
Salem City (540) 982-2463
JOSETTE ANTOINE LPN
Licensed Practical Nurse
1970 ROANOKE BLVD
SALEM, VA 24153
Salem City (540) 982-2463
DR. JASBIR MAVI M.D.
Preventive Medicine (Public Health & General Preventive Medicine)
1970 ROANOKE BLVD, VAMC SALEM
SALEM, VA 24153
Salem City (540) 982-2463

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacy Clark's NPI number?

The NPI number for Stacy Clark is 1063342541. It was assigned to this individual provider in the NPPES registry on May 19, 2026.

Where is Stacy Clark located?

Stacy Clark practices at 1970 Roanoke Blvd, Salem, VA 24153. The listed phone number is (540) 982-2463.

What is Stacy Clark's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Stacy Clark was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.