Active NPI
Vince E Stollar
- Pharmacist
- Marietta, OH
National Provider Identifier
1508468679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03219377
- Practice address
- 804 Pike St
Marietta, OH 45750-3503 - Phone
- (740) 376-9035
- NPI assigned
- Nov 12, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Pharmacist | 183500000X | 03219377 | OH | Primary |
Addresses
Primary practice location
804 Pike St
Marietta, OH 45750-3503
Mailing address
170 Harvest Run Rd
Marietta, OH 45750-9142
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 |
|---|---|---|---|
| 03219377 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605139200000",
"number": "1508468679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 HARVEST RUN RD",
"city": "MARIETTA",
"state": "OH",
"postal_code": "457509142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 PIKE ST",
"city": "MARIETTA",
"state": "OH",
"postal_code": "457503503",
"telephone_number": "740-376-9035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOLLAR",
"first_name": "VINCE",
"middle_name": "E",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-12",
"last_updated": "2020-11-12",
"certification_date": "2020-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03219377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.