STACY PARK
NPI 1205290459
Pharmacist in Phoenix, AZ

Active since April 13, 2016
635 E BASELINE RD, PHOENIX, AZ 85042(602) 243-7277 Get Directions Write a Review

NPPES record last updated: April 13, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stacy Park NPPES

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

STACY PARK (NPI 1205290459) is an individual pharmacist in Phoenix, Arizona, licensed in Arizona (S020120) and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1205290459
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameSTACY PARK
Location Address635 E BASELINE RDPhoenix, AZ 85042-6551
Mailing Address4225 E Mcdowell Rd, 1103Phoenix, AZ 85008-7475
Sole ProprietorNo
Enumeration DateApril 13, 2016
NPI 1205290459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in AZ · S020120
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.

635 E BASELINE RD, Phoenix, AZ 85042

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.

Dietitian, Registered
635 E BASELINE RD
PHOENIX, AZ 85042
Dietitian, Registered
635 E BASELINE RD
PHOENIX, AZ 85042
Pharmacist
635 E BASELINE RD
PHOENIX, AZ 85042
Internal Medicine
635 E BASELINE RD
PHOENIX, AZ 85042
Pharmacist
635 E BASELINE RD
PHOENIX, AZ 85042
Pharmacist
635 E BASELINE RD
PHOENIX, AZ 85042
Psychologist
635 E BASELINE RD
PHOENIX, AZ 85042
Dental Hygienist
635 E BASELINE RD
PHOENIX, AZ 85042

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 Park's NPI number?

The NPI number for Stacy Park is 1205290459. It was assigned to this individual provider in the NPPES registry on April 13, 2016.

Where is Stacy Park located?

Stacy Park practices at 635 E Baseline Rd, Phoenix, AZ 85042. The listed phone number is (602) 243-7277.

What is Stacy Park'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 Park was last updated on April 13, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.