STACEY M THACKER PHARM D
NPI 1962659664
Clinic/Center - Primary Care in Edwardsville, IL

Q: What is Stacey Thacker's NPI number?

The NPI number for Stacey Thacker is 1962659664. It was assigned to this individual provider in the NPPES registry on August 25, 2008.

Q: What is Stacey Thacker's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Thacker was last updated on August 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since August 25, 2008

200 UNIVERSITY PARK DR, CAMPUS BOX 2000, EDWARDSVILLE, IL 62026(618) 650-5131 Get Directions Write a Review

NPPES record last updated: August 25, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Stacey M Thacker Pharm D NPPES

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

STACEY M THACKER PHARM D (NPI 1962659664) is an individual primary care provider in Edwardsville, Illinois, licensed in Illinois (051292099) and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1962659664

Entity TypeIndividualFemale

Primary Taxonomy261QP2300X

Provider Legal NameSTACEY M THACKERCredential: PHARM D

Location Address200 UNIVERSITY PARK DR, CAMPUS BOX 2000Edwardsville, IL 62026-0001

Mailing Address200 University Park Dr, Campus Box 2000Edwardsville, IL 62026-0001

Phone(618) 650-5131

Sole ProprietorYes

Enumeration DateAugust 25, 2008

✔ NPI 1962659664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

License✔ Licensed in IL · 051292099

200 UNIVERSITY PARK DR, Edwardsville, IL 62026

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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 Thacker's NPI number?

The NPI number for Stacey Thacker is 1962659664. It was assigned to this individual provider in the NPPES registry on August 25, 2008.

Where is Stacey Thacker located?

Stacey Thacker practices at 200 University Park Dr Campus Box 2000, Edwardsville, IL 62026. The listed phone number is (618) 650-5131.

What is Stacey Thacker's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Stacey Thacker was last updated on August 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.