MARISSA STACK
NPI 1780262816
Pharmacist in Syracuse, NY

Active since March 30, 2021
4751 ONONDAGA BLVD, SYRACUSE, NY 13219(315) 476-2141 Get Directions Write a Review

NPPES record last updated: April 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 29, 2021, Mar 30, 2021 (2 updates tracked since 2021).

About Marissa Stack NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISSA STACK (NPI 1780262816) is an individual pharmacist in Syracuse, New York, licensed in New York (067675) and active in the NPI registry since March 2021. She maintains a secondary practice location in East Syracuse.

NPPES Registry Identity

NPI1780262816
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameMARISSA STACK
Location Address4751 ONONDAGA BLVDSyracuse, NY 13219-3315
Mailing Address4751 Onondaga BlvdSyracuse, NY 13219-3315
Sole ProprietorNo
Enumeration DateMarch 30, 2021
Last NPPES UpdateApril 29, 20212 updates tracked since enumeration
NPPES CertifiedApril 29, 2021
NPI 1780262816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in NY · 067675
Definition
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.
4751 ONONDAGA BLVD, Syracuse, NY 13219

Secondary Practice Location 1

Location 15825 Tilton RdEast Syracuse, NY 13057-3045 · Phone (315) 427-4423

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
4751 ONONDAGA BLVD
SYRACUSE, NY 13219
Pharmacist
4751 ONONDAGA BLVD
SYRACUSE, NY 13219
Pharmacy
4751 ONONDAGA BLVD
SYRACUSE, NY 13219
Pharmacist
4751 ONONDAGA BLVD
SYRACUSE, NY 13219
Pharmacist
4751 ONONDAGA BLVD
SYRACUSE, NY 13219
Pharmacist
4751 ONONDAGA BLVD
SYRACUSE, NY 13219
Pharmacist
4751 ONONDAGA BLVD
SYRACUSE, NY 13219
Pharmacist
4751 ONONDAGA BLVD
SYRACUSE, NY 13219

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marissa Stack's NPI number?

The NPI number for Marissa Stack is 1780262816. It was assigned to this individual provider in the NPPES registry on March 30, 2021.

Where is Marissa Stack located?

Marissa Stack practices at 4751 Onondaga Blvd, Syracuse, NY 13219. The listed phone number is (315) 476-2141.

What is Marissa Stack's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Marissa Stack was last updated on April 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.