Active NPI
Charles Ryan Staley, PHARMD
- Pharmacist
- Columbus, OH
National Provider Identifier
1518249747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03228051
- Practice address
- 3093 Cleveland Ave
Columbus, OH 43224-3684 - Phone
- (614) 263-7551
- NPI assigned
- Sep 14, 2011
- Last updated
- Sep 14, 2011
- 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 | 03228051 | OH | Primary |
Addresses
Primary practice location
3093 Cleveland Ave
Columbus, OH 43224-3684
Mailing address
944 Shaula Dr
Columbus, OH 43240-2160
Phone (937) 418-5894
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
| License | State | Type | Specialty |
|---|---|---|---|
| 03228051 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315958400000",
"number": "1518249747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "944 SHAULA DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432402160",
"telephone_number": "937-418-5894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3093 CLEVELAND AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432243684",
"telephone_number": "614-263-7551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STALEY",
"first_name": "CHARLES",
"middle_name": "RYAN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-14",
"last_updated": "2011-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03228051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.