What is Stacy Clark's NPI number?

Stacy Clark's National Provider Identifier (NPI) is 1689950479, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Stacy Clark's specialty?

Stacy Clark is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).

Where is Stacy Clark located?

Stacy Clark's practice location on file with NPPES is 52482 State Road 933, South Bend, IN 46637-3852.

What is Stacy Clark's phone number?

The practice phone number listed in the NPPES registry for Stacy Clark is (574) 271-0357.

Is Stacy Clark's NPI active?

Yes — Stacy Clark's NPI (1689950479) is active in the NPPES registry as of the last update on 2011-10-25.

IndividualActive

Stacy Clark, RPH

NPI 1689950479 · Pharmacist · South Bend, IN

Stacy Clark, RPH is a Pharmacist provider in South Bend, IN (NPI 1689950479).

Provider details

NPI number: 1689950479
Entity type: Individual
Primary specialty: PharmacistPharmacy Service Providers
Credential: RPH
Sex: Female
Sole proprietor: No
License: 5302026870 (MI)

Specialties & taxonomies

PharmacistPrimary183500000XLicense 5302026870 (MI)
Pharmacy Service Providers
Pharmacist183500000XLicense 26016810 (IN)
Pharmacy Service Providers

Profile Score

Detailed profile(81/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
14 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

52482 State Road 933

South Bend, IN 46637-3852

Phone: (574) 271-0357

Street-level locationGet directions

Mailing address