Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stacy Waterman, PHARMD

Individual provider Pharmacist · NPI 1164912465

Stacy Waterman, PHARMD is a Pharmacist in Fort Wayne, Indiana. Licensed in Indiana and Ohio. Registered with an NPI since 2018.

Licensed in
IN, OH
In the registry since
2018
Specialties on file
2
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

11109 Parkview Plaza Drive Pharmacy Dept
Fort Wayne, IN 46845
Phone: (260) 266-4400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 26024153A (IN)
Pharmacist Taxonomy 183500000X · Licence 03331241 (OH)

Record details

NPI number1164912465
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedMay 14, 2018
Last updated in NPPESMay 14, 2018
Mailing address12723 Capshaw Ct, Fort Wayne, IN 46845-2337

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