Individual provider Active NPI

Robert Allen Stessman, R.PH. B.S. PHARMACY

  • Pharmacist
  • Manning, IA
National Provider Identifier
1467547653
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
16266 Issued in IA
Practice address
317 Main Street
Manning, IA 51455
Phone
(712) 655-9490
Fax
(712) 655-2295
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Pharmacist 1835P2201X 16266 IA
Pharmacist 183500000X 16266 IA Primary

Addresses

Primary practice location

317 Main Street
Manning, IA 51455

Mailing address

1010 Center St
Manning, IA 51455-1527
Phone (712) 210-0679

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
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
16266IAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rex Pharmacy Inc. PastSince Oct 24, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1467547653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 CENTER ST",
            "city": "MANNING",
            "state": "IA",
            "postal_code": "514551527",
            "telephone_number": "712-210-0679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 MAIN STREET",
            "city": "MANNING",
            "state": "IA",
            "postal_code": "51455",
            "telephone_number": "712-655-9490",
            "fax_number": "712-655-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STESSMAN",
        "first_name": "ROBERT",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "R.PH. B.S. PHARMACY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "IA",
            "license": "16266",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "16266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manning, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.