Active NPI
Christopher Stacko
- Pharmacist
- Oberlin, OH
National Provider Identifier
1295191419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03234267
- Practice address
- 46440 US Highway 20
Oberlin, OH 44074-9475 - Phone
- (440) 774-6734
- NPI assigned
- Jan 4, 2016
- Sex
- Male
- 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 | 183500000X | 03234267 | OH | Primary |
Addresses
Primary practice location
46440 US Highway 20
Oberlin, OH 44074-9475
Mailing address
46440 US Highway 20
Oberlin, OH 44074-9475
Phone (440) 774-6734
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 |
|---|---|---|---|
| 03234267 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451865600000",
"number": "1295191419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46440 US HIGHWAY 20",
"city": "OBERLIN",
"state": "OH",
"postal_code": "440749475",
"telephone_number": "440-774-6734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46440 US HIGHWAY 20",
"city": "OBERLIN",
"state": "OH",
"postal_code": "440749475",
"telephone_number": "440-774-6734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STACKO",
"first_name": "CHRISTOPHER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-01-04",
"last_updated": "2016-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03234267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oberlin, OH
- Frances T Smith, CANP
- Matthew Madison Smith, APRN CNP
- David Atkinson Snyder, LPCC-S
- Stephanie Spanos, PHARM D
- Donald Lee Spencer, PH.D.
- Carrie J Stannard, RD, LD
- Paul Stroney
- Michele Ann Tarsitano-Amato, MA, ATR-BC
- The Cleveland Clinic Foundation (Cleveland Clinic Ophthalmology at Oberlin)
- Anne Torsney, P.A.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.