STACY WATERMAN PHARMD
NPI 1164912465
Pharmacist in Fort Wayne, IN

Active since May 14, 2018
11109 PARKVIEW PLAZA DRIVE, PHARMACY DEPARTMENT, FORT WAYNE, IN 46845(260) 266-4400 Get Directions Write a Review

NPPES record last updated: May 14, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stacy Waterman Pharmd NPPES

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

STACY WATERMAN PHARMD (NPI 1164912465) is an individual pharmacist in Fort Wayne, Indiana, licensed in Indiana (26024153A) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1164912465
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameSTACY WATERMANCredential: PHARMD
Location Address11109 PARKVIEW PLAZA DRIVE, PHARMACY DEPARTMENTFort Wayne, IN 46845
Mailing Address12723 Capshaw CtFort Wayne, IN 46845-2337 · (419) 203-2637
Sole ProprietorNo
Enumeration DateMay 14, 2018
NPI 1164912465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses Licensed in IN · 26024153A Licensed in OH · 03331241
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.
11109 PARKVIEW PLAZA DRIVE, Fort Wayne, IN 46845

Other Providers at the Same Location NPPES 6

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

Pharmacist
11109 PARKVIEW PLAZA DRIVE, INPATIENT PHARMACY
FORT WAYNE, IN 46845
Emergency Medicine
11109 PARKVIEW PLAZA DRIVE
FORT WAYNE, IN 46845
Pharmacist
11109 PARKVIEW PLAZA DRIVE
FORT WAYNE, IN 46845
Physical Therapist
11109 PARKVIEW PLAZA DRIVE, 100
FORT WAYNE, IN 46845
Pharmacist
11109 PARKVIEW PLAZA DRIVE, PHARMACY DEPT
FORT WAYNE, IN 46845
Emergency Medicine
11109 PARKVIEW PLAZA DRIVE
FORT WAYNE, IN 46845

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 Waterman's NPI number?

The NPI number for Stacy Waterman is 1164912465. It was assigned to this individual provider in the NPPES registry on May 14, 2018.

Where is Stacy Waterman located?

Stacy Waterman practices at 11109 Parkview Plaza Drive Pharmacy Department, Fort Wayne, IN 46845. The listed phone number is (260) 266-4400.

What is Stacy Waterman'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 Waterman was last updated on May 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.