Staci M. Mack, PHARMD
NPI 1366051401ActiveIndividual· Pharmacist· Puyallup, WA
Pharmacist (PHARMD) in Puyallup, Washington, licensed in WA, with an NPI issued in July 2020.
Overview
| NPI | 1366051401 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHARMD |
| Sole proprietor | No |
| NPI issued | Jul 24, 2020 |
| Last updated in NPPES | Mar 29, 2026 |
| Certified by provider | Mar 29, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | P4.61086570 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other pharmacists in Puyallup
- 1013645498
- 1033419908
- 1063282630
- 1083367106
- 1083441059
- 1134108731
- 1144897679
- 1164722930
- 1174032817
- 1184946907
- 1235412842
- 1255731238
All 128 pharmacists in Puyallup · All pharmacists in Washington