Stacy Fissel

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

03122787 Issued in OH

Practice address

2129 S Main St
Bellefontaine, OH 43311-1557

Phone

(937) 592-3464

Fax

(937) 593-2343

NPI assigned

Apr 24, 2017

Sex

Female

Sole proprietor

Yes

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

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.

• The Kroger Co

  • Community/Retail Pharmacy
  • Bellefontaine, OH
  • NPI 1942234745
  NPD (past)
• Kroger Co

  • Community/Retail Pharmacy
  • Bethlehem, GA
  • NPI 1154294205
  NPD (past)

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1770018160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2129 S MAIN ST",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433111557",
            "telephone_number": "937-592-3464",
            "fax_number": "937-593-2343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2129 S MAIN ST",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433111557",
            "telephone_number": "937-592-3464",
            "fax_number": "937-593-2343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISSEL",
        "first_name": "STACY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-24",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OH",
            "license": "03122787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph M Fawcett, PA, MHSA, ATC
• John R Fearon, DO
• Raven Chloe Feasel
• First Christian Church
• Hana Elizabeth Fischesser, M.A., CCC-SLP
• Jenny Foust
• Fox Optometry, LLC
• Anthony Edward Fox, O.D., M.S.
• Terry L Fraley, LPC
• Thomas C Franklin, M.D.

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Bellefontaine, OH
• Providers in Bellefontaine, OH by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.