Organization Active NPI

Staq Pharmacy Services, LLC

  • Mail Order Pharmacy
  • Columbus, OH
National Provider Identifier
1902771090
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mail Order PharmacyTaxonomy code 3336M0002X
Legal business name
STAQ PHARMACY SERVICES, LLC
Practice address
2182 Dividend Dr
Columbus, OH 43228-3806
Phone
(614) 820-8419
NPI assigned
Oct 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Authorized official

Name
Jon Hicks, PHARMD
Title
Vice President Operations
Phone
(330) 338-7244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mail Order Pharmacy 3336M0002X Primary

Addresses

Primary practice location

2182 Dividend Dr
Columbus, OH 43228-3806

Mailing address

2182 Dividend Dr
Columbus, OH 43228-3806
Phone (614) 820-8419

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1759881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1902771090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2182 DIVIDEND DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432283806",
            "telephone_number": "614-820-8419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2182 DIVIDEND DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432283806",
            "telephone_number": "614-820-8419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAQ PHARMACY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-08",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "VICE PRESIDENT OPERATIONS",
        "authorized_official_telephone_number": "330-338-7244",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "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 Oct 8, 2025; 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.