Justin Clarke Liedke, PHARM.D.
Justin Clarke Liedke is a Pharmacist provider (Pharmacist) practicing in Troy, MO, registered in the NPPES registry with NPI 1639787328 since 2020. The credential PHARMD stands for Doctor of Pharmacy. Practices at Walgreen Co (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1639787328 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Justin Clarke Liedke |
| Credential | PHARM.D. |
| Sex | Male |
| Practice address | 100 JASON DR, Troy, MO, 63379 |
| Phone | 6364625901 |
| Enumeration date | 2020-07-19 |
| Last updated in NPPES | 2022-06-15 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 183500000X | Pharmacist | Primary | 2020018825 | MO |
PHARMD — Doctor of Pharmacy: A licensed pharmacist with a professional doctorate in pharmacy. About the PHARMD credential
Copy-ready billing details
Provider: Justin Liedke, PHARM.D. NPI: 1639787328 Taxonomy: 183500000X (Pharmacist) Address: 100 JASON DR, Troy, MO, 63379
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1760673248 | Walgreen Co | Organization | Pharmacy | Troy, MO |
| 1336422831 | Amanda Drain | Individual | Pharmacist | Troy, MO |
| 1326321571 | Amanda Urbaniak | Individual | Pharmacist | Troy, MO |
| 1467830794 | Stephanie Rachas | Individual | Pharmacist | Troy, MO |
| 1851903660 | Amanda Hunt | Individual | Pharmacist | Troy, MO |
| 1306583059 | Krista Schneider | Individual | Pharmacist | Troy, MO |
| 1215892526 | Cara Wallace | Individual | Pharmacist | Troy, MO |
Verify this record
Cross-check NPI 1639787328 against the authoritative CMS record: view Justin Clarke Liedke on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-06-15.