IndividualActive
Stacy Park
NPI 1205290459 · Pharmacist · Phoenix, AZ
Stacy Park is a Pharmacist provider in Phoenix, AZ (NPI 1205290459).
Provider details
- NPI number
- 1205290459
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- S020120 (AZ)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
635 E Baseline Rd
Phoenix, AZ 85042-6551
Phone: (602) 243-7277
Street-level locationGet directions
Mailing address
4225 E Mcdowell Rd
Phoenix, AZ 85008-7475
Registry dates
- Enumerated
- 2016-04-13
- Last updated
- 2016-04-13
Frequently asked questions
- What is Stacy Park's NPI number?
- Stacy Park's National Provider Identifier (NPI) is 1205290459, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stacy Park's specialty?
- Stacy Park is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Stacy Park located?
- Stacy Park's practice location on file with NPPES is 635 E Baseline Rd, Phoenix, AZ 85042-6551.
- What is Stacy Park's phone number?
- The practice phone number listed in the NPPES registry for Stacy Park is (602) 243-7277.
- Is Stacy Park's NPI active?
- Yes — Stacy Park's NPI (1205290459) is active in the NPPES registry as of the last update on 2016-04-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.