Stacy Clark, RPH
NPI 1689950479ActiveIndividual· Pharmacist· South Bend, IN
Pharmacist (RPH) in South Bend, Indiana, licensed in MI and IN, with an NPI issued in October 2011.
Overview
| NPI | 1689950479 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RPH |
| Sole proprietor | No |
| NPI issued | Oct 25, 2011 |
| Last updated in NPPES | Oct 25, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | 5302026870 | MI |
| Pharmacist | 183500000X | 26016810 | IN |
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 South Bend
- 1003499856
- 1144357328
- 1235262395
- 1538209432
- 1689957516
- 1801288295
- 1811512726
- 1922388412
- 1972885747
- 1538765193
- 1720604523
- 1750502878
All 107 pharmacists in South Bend · All pharmacists in Indiana