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Dr. Kevin David Stack , PharmD

Pharmacist β€’ New Philadelphia, OH

Active NPI 1770999880 Individual Practitioner Male Practitioner
Practice location in NPPES

1260 Monroe St Nw Ste 1a
New Philadelphia, OH 446634147

Call 3306025339 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1260 Monroe St Nw Ste 1a

New Philadelphia, OH 446634147

Telephone 3306025339

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in New Philadelphia and Ohio

19 active clinicians are listed under Pharmacist with a practice address in New Philadelphia, OH (10,836 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in New Philadelphia

0% of these 19 clinicians have the CMS telehealth indicator.

0% of these 19 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-10-18
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

License # reported to NPPES OH 03233705

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Paul Davis , LISW

Social Worker - Clinical

NPI 1831102730

Licensed Independent Social Worker

Jodi Snyder , CNP

Nurse Practitioner - Family

NPI 1366583692

Certified Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location October 18, 2023

Registered at 1260 MONROE ST NW STE 1A, NEW PHILADELPHIA, OH 446634147 (Tel: 3306025339)

πŸ“
Updated Business Mailing Address October 18, 2023

Registered at 690 OLDE ORCHARD DR NE, BOLIVAR, OH 446128881 (Tel: 2169784156)

βœ…
NPI Profile Active July 09, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 09, 2014

Registered at 5500 ARMSTRONG RD, BATTLE CREEK, MI 490377314 (Tel: 2699665600)

πŸ“
Business Mailing Address (Initial Record) July 09, 2014

Registered at 15950 HOLLAND RD, BROOKPARK, OH 441423352 (Tel: 2169784156)

πŸ‘€
Provider Name / Credentials (Initial Record) July 09, 2014

Recorded as KEVIN STACK, PHARMD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2014

Pharmacist (license number reported to NPPES: OH 03233705)

🟒
Initial NPI Registration & Enumeration July 09, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1770999880
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 09, 2014
Last Update: October 18, 2023
Sole Proprietor: No

Mailing Address

690 Olde Orchard Dr Ne

Bolivar, OH 446128881

Phone: 2169784156

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.