Individual provider Active NPI

Mark Arthur Stillwell

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • New Haven, IN
National Provider Identifier
1588200596
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
26019379A Issued in IN
Practice address
821 Lincoln Hwy W
New Haven, IN 46774-2139
Phone
(260) 749-0215
Fax
(260) 749-1166
NPI assigned
Nov 25, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 26019379A IN Primary

Addresses

Primary practice location

821 Lincoln Hwy W
New Haven, IN 46774-2139

Mailing address

821 Lincoln Hwy W
New Haven, IN 46774-2139
Phone (260) 749-0215

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

LicenseStateTypeSpecialty
26019379AINMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Kroger Limited Partnership I CurrentSince Apr 27, 2025 Accepting new patients
Kroger Limited Partnership I PastSince Dec 1, 2019 Accepting new patients

Locations

821 Lincoln Hwy W
New Haven, IN 46774
Phone (260) 749-0215

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1588200596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 LINCOLN HWY W",
            "city": "NEW HAVEN",
            "state": "IN",
            "postal_code": "467742139",
            "telephone_number": "260-749-0215",
            "fax_number": "260-749-6180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 LINCOLN HWY W",
            "city": "NEW HAVEN",
            "state": "IN",
            "postal_code": "467742139",
            "telephone_number": "260-749-0215",
            "fax_number": "260-749-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILLWELL",
        "first_name": "MARK",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-25",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "IN",
            "license": "26019379A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.

Verify at the official NPI Registry.