NPIMap

Individual provider Active NPI

Stellar Fackler, PHARMD

  • Pharmacist
  • Canal Winchester, OH
National Provider Identifier
1114603099
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03443467 Issued in OH
Practice address
3601 Gender Rd
Canal Winchester, OH 43110-9739
Phone
(614) 235-5555
NPI assigned
Jun 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03443467 OH Primary

Addresses

Primary practice location

3601 Gender Rd
Canal Winchester, OH 43110-9739

Mailing address

5000 E Main St
Columbus, OH 43213-2440

Other practice location 1

5000 E Main St
Columbus, OH 43213-2440
Phone (614) 235-5555

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
03443467OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Axess Family Services Inc Past Accepting new patients
Axess Family Services Inc Past Accepting new patients
Axess Family Services Inc Past Accepting new patients
Axess Family Services Inc Past Accepting new patients
Axess Family Services Inc Past Accepting new patients
Axess Family Services Inc Past Accepting new patients
Axess Family Services Inc Past Accepting new patients
Axess Family Services Inc Past Accepting new patients
Axess Family Services Inc Past Accepting new patients

Organizations & group practices 9

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": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1114603099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 E MAIN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432132440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 GENDER RD",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431109739",
            "telephone_number": "614-235-5555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 E Main St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432132440",
            "country_code": "US",
            "telephone_number": "614-235-5555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FACKLER",
        "first_name": "STELLAR",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03443467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canal Winchester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.