Active NPIIndividual provider

Dr. Nichole Stark, PHARMD

Pharmacist, Psychiatric in Providence, Rhode Island

NPI Number1720667223
Practice location
830 Chalkstone Ave, Providence, RI 02908-4734
Fax
—
Last updated
August 5, 2025

Nichole Stark is a Pharmacist, Psychiatric based in Providence, RI. Nichole Stark practices in Providence, RI and has the professional credentials of PHARMD. The NPI Number for Nichole Stark is 1720667223 and holds a License No. 23676 (IA). The current practice location address for Nichole Stark is 830 Chalkstone Ave, Providence, RI 02908-4734 and can be reached out via phone at 401-273-7100.

Provider Profile Details

NPI Number
1720667223
Provider Name
Nichole Stark
Credential
PHARMD
Provider Entity Type
Individual
Gender
Female
Address
830 Chalkstone Ave, Providence, RI 02908-4734
Phone Number
401-273-7100
Primary Taxonomy
Pharmacist, Psychiatric · 1835P1300X
Sole Proprietor
No
Provider Enumeration Date
April 3, 2021
Last Update Date
August 5, 2025
Certification Date
August 5, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
830 Chalkstone Ave
Providence, RI 02908-4734
Zip
02908-4734
Phone Number
401-273-7100
Providence, RI 02908Get directions →

Provider Business Mailing Address Details

Address
36 James St
East Providence, RI 02914-4312
City
East Providence
State
RI
Zip
02914-4312
Phone Number
920-428-2247

License Information

License Number (1)
23676
License State (1)
IA
License Number (2)
23676
License State (2)
IA
Taxonomy (2)
Pharmacist, Psychiatric · 1835P1300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Nichole Stark, PHARMD?

The NPI number of Dr. Nichole Stark, PHARMD is 1720667223. It was assigned on April 3, 2021 and is currently active in the NPPES registry.

What is the specialty of Dr. Nichole Stark, PHARMD?

Dr. Nichole Stark, PHARMD is registered under the primary taxonomy Pharmacist, Psychiatric (code 1835P1300X), licensed in IA under license number 23676.

Where does Dr. Nichole Stark, PHARMD practice?

The practice location is 830 Chalkstone Ave, Providence, RI 02908-4734. The office can be reached at 401-273-7100 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720667223 directly on the NPPES registry website.

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