Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1780262816 Individual Practitioner Female Practitioner

Marissa Stack

Pharmacist • Syracuse, NY

Professional Overview & Biography Verified Profile Summary

Marissa Stack is a registered healthcare professional specializing in Pharmacist in Syracuse, NY. Practice services are available at 4751 ONONDAGA BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4751 Onondaga Blvd

Syracuse, NY 132193315

Telephone 3154762141
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1366966632

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Syracuse, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
327 Specialists

Practicing in Syracuse, NY (23779 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-04-29
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License NY 067675

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Secondary Practice Locations

5825 Tilton Rd

East Syracuse, NY 130573045

Phone: 3154274423

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
NPI 1093128803

Doctor of Pharmacy (Pharm.D.)

Sarojini Lavu

Pharmacist

NPI 1265615272
NPI 1386824951

Registered Pharmacist

NPI 1407031818

Registered Pharmacist

Richard Hetey

Pharmacist

NPI 1609051762
NPI 1740533124

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 30, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location March 30, 2021

Registered at 4751 ONONDAGA BLVD, SYRACUSE, NY 132193315 (Tel: 3154762141)

📍
Updated Business Mailing Address March 30, 2021

Registered at 4751 ONONDAGA BLVD, SYRACUSE, NY 132193315

👤
Provider Name / Credentials Updated March 30, 2021

Recorded as MARISSA STACK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2021

Pharmacist (License #067675 in NY)

🟢
Initial NPI Registration & Enumeration March 30, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1780262816
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 30, 2021
Last Update: April 29, 2021
Sole Proprietor: No

Mailing Address

4751 Onondaga Blvd

Syracuse, NY 132193315

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.