STACEY MADER PHARMD
NPI 1902183411
Pharmacist in Medina, MN

Active since November 11, 2011
300 CLYDESDALE TRL, MEDINA, MN 55340(763) 852-0007 Get Directions Write a Review

NPPES record last updated: November 11, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacey Mader Pharmd NPPES

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

STACEY MADER PHARMD (NPI 1902183411) is an individual pharmacist in Medina, Minnesota, licensed in Minnesota (119094) and active in the NPI registry since November 2011.

NPPES Registry Identity

NPI1902183411
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameSTACEY MADERCredential: PHARMD
Location Address300 CLYDESDALE TRLMedina, MN 55340-4538
Mailing Address6649 Shadyview Ln NMaple Grove, MN 55311-4588 · (763) 229-0940
Sole ProprietorNo
Enumeration DateNovember 11, 2011
NPI 1902183411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses Licensed in MN · 119094 Licensed in KS · 1-13053
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.
300 CLYDESDALE TRL, Medina, MN 55340

Other Providers at the Same Location NPPES 2

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

Pharmacist
300 CLYDESDALE TRL
MEDINA, MN 55340
Pharmacist
300 CLYDESDALE TRL
MEDINA, MN 55340

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 Stacey Mader's NPI number?

The NPI number for Stacey Mader is 1902183411. It was assigned to this individual provider in the NPPES registry on November 11, 2011.

Where is Stacey Mader located?

Stacey Mader practices at 300 Clydesdale Trl, Medina, MN 55340. The listed phone number is (763) 852-0007.

What is Stacey Mader'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 Stacey Mader was last updated on November 11, 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.