Individual provider Active NPI

Salvatore Francesco Tesoro, R.PH.

  • Pharmacist
  • Columbia, MO
National Provider Identifier
1184126807
Registry record updated Mar 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
041777 Issued in MO
Practice address
604 Old 63 N
Columbia, MO 65201-4557
Phone
(573) 499-6615
Fax
(573) 499-6654
NPI assigned
Mar 8, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 041777 MO Primary

Addresses

Primary practice location

604 Old 63 N
Columbia, MO 65201-4557

Mailing address

604 Old 63 N
Columbia, MO 65201-4557
Phone (573) 499-6615

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
041777MOMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520467200000",
    "number": "1184126807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 OLD 63 N",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652014557",
            "telephone_number": "573-499-6615",
            "fax_number": "573-499-6654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 OLD 63 N",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652014557",
            "telephone_number": "573-499-6615",
            "fax_number": "573-499-6654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESORO",
        "first_name": "SALVATORE",
        "middle_name": "FRANCESCO",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-08",
        "last_updated": "2018-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "041777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; 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.