Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

STACY R CLARK PHARMD
NPI 1063342541
Pharmacist 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: August 18, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 18, 2026, May 19, 2026 (2 updates tracked since 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 pharmacist in Salem, Virginia, licensed in Idaho (5781127) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1063342541
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameSTACY R CLARKCredential: PHARMD
Location Address1970 ROANOKE BLVDSalem, VA 24153-6404
Mailing Address5908 Arden DrClemmons, NC 27012-9407 · (336) 528-0258
Sole ProprietorNo
Enumeration DateMay 19, 2026
Last NPPES UpdateAugust 18, 20262 updates tracked since enumeration
NPPES CertifiedAugust 18, 2026
NPI 1063342541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in ID · 5781127
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
1970 ROANOKE BLVD, Salem, VA 24153

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.

Social Worker (Clinical)
1970 ROANOKE BLVD, SALEM VA MEDICAL CENTER
SALEM, VA 24153
Pharmacist
1970 ROANOKE BLVD, DEPARTMENT 119
SALEM, VA 24153
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1970 ROANOKE BLVD
SALEM, VA 24153
Pharmacist
1970 ROANOKE BLVD
SALEM, VA 24153
Psychologist (Clinical)
1970 ROANOKE BLVD
SALEM, VA 24153
Nurse Practitioner (Family)
1970 ROANOKE BLVD
SALEM, VA 24153
Licensed Practical Nurse
1970 ROANOKE BLVD
SALEM, VA 24153
Preventive Medicine (Public Health & General Preventive Medicine)
1970 ROANOKE BLVD, VAMC SALEM
SALEM, VA 24153

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 Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Stacy Clark was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.