Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366051401 Individual Practitioner Female Practitioner

Dr. Staci M Mack , PharmD

Pharmacist • Puyallup, WA

Professional Overview & Biography Verified Profile Summary

Dr. Staci Mack, PharmD is a registered healthcare professional specializing in Pharmacist in Puyallup, WA. Practice services are available at 401 15TH AVE SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

401 15th Ave Se

Puyallup, WA 983723715

Telephone 2536973494
Associated Practice Facility / Clinic
🏢 Multicare Health System Facility NPI 1841231461

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Puyallup, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.0 Yrs
Regional Practice Density
126 Specialists

Practicing in Puyallup, WA (7956 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-03-29
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License WA P4.61086570

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1235412842
Ahmed Khalifa

Pharmacist

NPI 1255622718

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location January 19, 2022

Registered at 401 15TH AVE SE, PUYALLUP, WA 983723715 (Tel: 2536973494)

📍
Updated Business Mailing Address January 19, 2022

Registered at 401 15TH AVE SE, PUYALLUP, WA 983723715 (Tel: 2536973494)

📍
Updated Practice Location February 05, 2021

Registered at 9502 176TH ST E, PUYALLUP, WA 983759300 (Tel: 2538465386)

📍
Updated Business Mailing Address February 05, 2021

Registered at 9502 176TH ST E, PUYALLUP, WA 983759300 (Tel: 2538465386)

NPI Profile Active July 24, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location July 24, 2020

Registered at 17927 97TH LN E, PUYALLUP, WA 983756319 (Tel: 2532300743)

📍
Updated Business Mailing Address July 24, 2020

Registered at 17927 97TH LN E, PUYALLUP, WA 983756319 (Tel: 2532300743)

👤
Provider Name / Credentials Updated July 24, 2020

Recorded as STACI MACK, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2020

Pharmacist (License #P4.61086570 in WA)

🟢
Initial NPI Registration & Enumeration July 24, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366051401
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 24, 2020
Last Update: March 29, 2026
Sole Proprietor: No

Mailing Address

401 15th Ave Se

Puyallup, WA 983723715

Phone: 2536973494

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.