Active NPI
Elizabeth Stark
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Woods Cross, UT
National Provider Identifier
1265076780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 5039290-1701
- Practice address
- 614 W 2600 S
Woods Cross, UT 84010-8190 - Phone
- (801) 298-2124
- Fax
- (801) 299-1634
- NPI assigned
- Oct 29, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 5039290-1701 | UT | Primary |
Addresses
Primary practice location
614 W 2600 S
Woods Cross, UT 84010-8190
Mailing address
256 E 2300 S
Kaysville, UT 84037-9665
Phone (801) 499-7639
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | elizabeth.stark@stores.sfdc.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5039290-1701 | UT | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smith'S Food & Drug Centers Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Henderson, NV
- NPI 1881585248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779148800000",
"number": "1265076780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "256 E 2300 S",
"city": "KAYSVILLE",
"state": "UT",
"postal_code": "840379665",
"telephone_number": "801-499-7639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "614 W 2600 S",
"city": "WOODS CROSS",
"state": "UT",
"postal_code": "840108190",
"telephone_number": "801-298-2124",
"fax_number": "801-299-1634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARK",
"first_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-29",
"last_updated": "2026-05-19",
"certification_date": "2026-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "UT",
"license": "5039290-1701",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "elizabeth.stark@stores.sfdc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "e-mail",
"address_1": "1370 W 200 N",
"city": "Kaysville",
"state": "UT",
"country_code": "US",
"postal_code": "840379711",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Woods Cross, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.