IndividualActive
Stacy Waterman, PHARMD
NPI 1164912465 · Pharmacist · Fort Wayne, IN
Stacy Waterman, PHARMD is a Pharmacist provider in Fort Wayne, IN (NPI 1164912465).
Provider details
- NPI number
- 1164912465
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- No
- License
- 03331241 (OH)
Specialties & taxonomies
Pharmacy Service Providers
Pharmacy Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11109 Parkview Plaza Drive
Pharmacy Department
Fort Wayne, IN 46845
Phone: (260) 266-4400
Street-level locationGet directions
Mailing address
12723 Capshaw Ct
Fort Wayne, IN 46845-2337
Registry dates
- Enumerated
- 2018-05-14
- Last updated
- 2018-05-14
Frequently asked questions
- What is Stacy Waterman's NPI number?
- Stacy Waterman's National Provider Identifier (NPI) is 1164912465, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stacy Waterman's specialty?
- Stacy Waterman is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Stacy Waterman located?
- Stacy Waterman's practice location on file with NPPES is 11109 Parkview Plaza Drive, Fort Wayne, IN 46845.
- What is Stacy Waterman's phone number?
- The practice phone number listed in the NPPES registry for Stacy Waterman is (260) 266-4400.
- Is Stacy Waterman's NPI active?
- Yes — Stacy Waterman's NPI (1164912465) is active in the NPPES registry as of the last update on 2018-05-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.