Marissa Stellacci, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI04407200 Issued in NJ

Practice address

72 Crescent Ave
Waldwick, NJ 07463-1345

Phone

(201) 444-1689

NPI assigned

Nov 2, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Walgreen Co

  • Pharmacy
  • Waldwick, NJ
  • NPI 1538174529
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730505600000",
    "number": "1659194355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 BEECH ST",
            "city": "TOWNSHIP OF WASHINGTON",
            "state": "NJ",
            "postal_code": "076764939",
            "telephone_number": "551-497-3017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 CRESCENT AVE",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074631345",
            "telephone_number": "201-444-1689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STELLACCI",
        "first_name": "MARISSA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-02",
        "last_updated": "2024-11-02",
        "certification_date": "2024-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI04407200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip A. Sorabella, M.D.
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• Stacey Markowitz Hecht, MD, PA
• Julene Stassou, MS, RD
• Stephen a. Jones, L.L.C.
• David Martin Strassberg
• Diane Stark Suda, MSW
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• Francis Sullivan, RPH

• Pharmacist in Waldwick, NJ
• Providers in Waldwick, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2024; 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.