STACY CLARK RPH
NPI 1689950479
Pharmacist in South Bend, IN

Active since October 25, 2011
52482 STATE ROAD 933, SOUTH BEND, IN 46637(574) 271-0357 Get Directions Write a Review

NPPES record last updated: October 25, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacy Clark Rph NPPES

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

STACY CLARK RPH (NPI 1689950479) is an individual pharmacist in South Bend, Indiana, licensed in Michigan (5302026870) and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1689950479
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameSTACY CLARKCredential: RPH
Location Address52482 STATE ROAD 933South Bend, IN 46637-3852
Mailing Address52482 State Road 933South Bend, IN 46637-3852 · (574) 271-0357
Sole ProprietorNo
Enumeration DateOctober 25, 2011
NPI 1689950479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses Licensed in MI · 5302026870 Licensed in IN · 26016810
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.
52482 STATE ROAD 933, South Bend, IN 46637

Other Providers at the Same Location NPPES 3

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

Pharmacist
52482 STATE ROAD 933
SOUTH BEND, IN 46637
Pharmacist
52482 STATE ROAD 933
SOUTH BEND, IN 46637
Pharmacist
52482 STATE ROAD 933
SOUTH BEND, IN 46637

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 1689950479. It was assigned to this individual provider in the NPPES registry on October 25, 2011.

Where is Stacy Clark located?

Stacy Clark practices at 52482 State Road 933, South Bend, IN 46637. The listed phone number is (574) 271-0357.

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 October 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.