Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1881466522 Deactivated / Inactive NPI Female Practitioner

Stacey Michelle Kaczorowski

Pharmacist • Bucyrus, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Stacey Kaczorowski has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 26, 2023
NPI Deactivation Date June 04, 2026
Total Practice Duration ~3 Years of Practice (2023 – 2026)

Professional Overview & Biography Verified Profile Summary

Stacey Kaczorowski was a registered Pharmacist practicing in Bucyrus, OH. Throughout an active medical career spanning 3 years, Stacey Kaczorowski provided care at the practice location at 345 N SANDUSKY AVE until profile deactivation on 2026-06-04.

Practice Location & Contact Primary Location

Practice Address

345 N Sandusky Ave

Bucyrus, OH 448201806

Telephone 4195624222
Associated Practice Facility / Clinic
🏢 Medicine Shoppe 1088 Llc Facility NPI 1083607923

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Bucyrus, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 3.0 Yrs
Regional Practice Density
15 Specialists

Practicing in Bucyrus, OH (11028 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

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License OH 03127759

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.

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1417537994

Registered Pharmacist

Tamer Ibrahim

Pharmacist

NPI 1457641896
NPI 1821081761

Registered Pharmacist

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated June 04, 2026

Record deactivated on June 04, 2026

NPI Profile Active October 26, 2023

NPI status registered as active in NPPES database

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Updated Practice Location October 26, 2023

Registered at 345 N SANDUSKY AVE, BUCYRUS, OH 448201806 (Tel: 4195624222)

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Updated Business Mailing Address October 26, 2023

Registered at 7786 WELLSBURY DR, WATERVILLE, OH 435661702 (Tel: 5672131879)

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Provider Name / Credentials Updated October 26, 2023

Recorded as STACEY KACZOROWSKI

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2023

Pharmacist (License #03127759 in OH)

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Initial NPI Registration & Enumeration October 26, 2023

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: 1881466522
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 26, 2023
Last Update: October 26, 2023
Deactivation Date: June 04, 2026

Mailing Address

7786 Wellsbury Dr

Waterville, OH 435661702

Phone: 5672131879

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.